Individual
MRS. ANGELA DIAZ DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1805 WILLIAMSON CT, BRENTWOOD, TN 37027-8164
(615) 454-6919
(615) 331-3859
Mailing address
1805 WILLIAMSON CT, BRENTWOOD, TN 37027-8164
(615) 454-6919
(615) 331-3859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3668
TN
363A00000X
Physician Assistant
9109933
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q053348
—
TN
Enumeration date
10/27/2016
Last updated
01/27/2021
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