Individual
YAJAIRA RAMONA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1860 ELLA T GRASSO BLVD, NEW HAVEN, CT 06511-1604
(754) 209-6549
Mailing address
1860 ELLA T GRASSO BLVD, NEW HAVEN, CT 06511-1604
(754) 209-6549
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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