Individual
MS. TERESA D DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
97 W PARKWAY, POMPTON PLAINS, NJ 07444-1647
(973) 831-5000
Mailing address
1640 REDSTONE CENTER DR, STE 200, PARK CITY, UT 84098-7605
(435) 575-3111
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
101269
NM
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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