Individual
ANGEL CHANELL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 BROADWAY STE 200, TACOMA, WA 98402-3400
(253) 691-9459
Mailing address
PO BOX 5299, TACOMA, WA 98415-0299
(253) 691-9459
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60104874
WA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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