Individual
SANDRA V DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 NE LOOP 410, SAN ANTONIO, TX 78216-5832
(210) 457-2000
Mailing address
45 NE LOOP 410, SAN ANTONIO, TX 78216-5832
(210) 457-2000
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/21/2014
Last updated
06/21/2014
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