Individual
COURTNEY IRENE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
926 N 21ST ST, NEWARK, OH 43055-2920
(740) 366-7341
Mailing address
926 N 21ST ST, NEWARK, OH 43055-2920
(740) 366-7341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6378
OH
Other
Enumeration date
06/12/2015
Last updated
02/24/2021
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