Individual
AMY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LIFE COACH
Contact information
Practice address
108 DAVID LN, BROCKWAY, PA 15824-1503
(814) 590-7885
Mailing address
145 HOSPITAL AVE, DU BOIS, PA 15801-1462
(814) 371-4361
(814) 371-4360
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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