Individual
DIANA DOGANIERO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E COLLEGE WAY, MOUNT VERNON, WA 98273-5612
(360) 763-5595
Mailing address
1601 E COLLEGE WAY, MOUNT VERNON, WA 98273-5612
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
10/08/2024
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