Individual
JOPHIEL IAN ROMAN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1428 BRADLEY DR, HARRISONBURG, VA 22801-5251
(787) 616-8584
Mailing address
1428 BRADLEY DR, HARRISONBURG, VA 22801-5251
(787) 616-8584
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
VA
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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