Individual
AMBER LYNN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 STOCK ST STE 83, HANOVER, PA 17331-2276
(717) 316-3030
(717) 316-1617
Mailing address
310 STOCK ST STE 8, HANOVER, PA 17331-2276
(717) 316-3030
(717) 316-1617
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056719
PA
Other
Enumeration date
01/29/2014
Last updated
04/01/2022
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