Individual
CRISTINA BAEZ-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 GARLAND DR, JACKSON, TN 38305
(731) 664-3670
Mailing address
1804 HIGHWAY 45 BYP STE 604, JACKSON, TN 38305-4403
(731) 660-8781
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5487
TN
Other
Enumeration date
09/25/2012
Last updated
08/02/2018
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