Individual
JAVIER DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9153 S WHISPERING PINE DR, TUCSON, AZ 85756-6171
(520) 204-6239
Mailing address
9153 S WHISPERING PINE DR, TUCSON, AZ 85756-6171
(520) 204-6239
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
12494937
AZ
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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