Individual
JOMAR CANALES DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
Contact information
Practice address
1 MUSTARD ST, ROCHESTER, NY 14609-6980
(585) 314-9139
Mailing address
1 MUSTARD ST, ROCHESTER, NY 14609-6980
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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