Individual
ERICA G DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CG61549971
Contact information
Practice address
511 S ELM ST, TOPPENISH, WA 98948-1651
(509) 865-5121
Mailing address
PO BOX 151, TOPPENISH, WA 98948-0151
(509) 865-5121
(509) 984-3793
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61549971
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366634552
—
WA
Enumeration date
04/01/2025
Last updated
04/01/2025
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