Individual
MIA MONIQUE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38725 N HILLTOP AVE, ANTIOCH, IL 60002-9632
(815) 751-3527
Mailing address
38725 N HILLTOP AVE, ANTIOCH, IL 60002-9632
(815) 751-3527
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
IL
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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