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Individual

MARIA BETZABE DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N/A

Contact information

Practice address
1633 1ST AVE, COLUMBUS, GA 31901-1803
(478) 013-2786
Mailing address
1633 1ST AVE, COLUMBUS, GA 31904-1612
(762) 743-5290

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1234
GA

Other

Enumeration date
08/21/2024
Last updated
08/23/2024
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