Individual
MRS. GLORIANGIE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
RR 3 BOX 2612, TOA ALTA, PR 00953-6405
(787) 466-5294
Mailing address
RR 3 BOX 2612, TOA ALTA, PR 00953-6405
(787) 466-5294
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3370
PR
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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