Individual
JAZMINE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 HIGHWAY 314 NW, LOS LUNAS, NM 87031-0000
(505) 944-6626
(505) 359-3239
Mailing address
PO BOX 3372, LOS LUNAS, NM 87031-3372
(505) 944-6626
(505) 359-3239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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