Individual
ISIS MARIE GARCIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 194TH ST SW STE 100, LYNNWOOD, WA 98036-4613
(423) 426-2761
Mailing address
21600 OXFORD ST, STE 1800, WOODLAND HILLS, CA 91367
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
61172291
WA
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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