Individual
MRS. MARIA R DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
399 SAN ANTONIO ST., ANTHONY, NM 88021
(915) 471-0417
Mailing address
399 SAN ANTONIO ST, ANTHONY, NM 88021-8707
(915) 471-0417
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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