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Individual

ALEJANDRA DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-0000
Mailing address
1751 BAYBERRY LN, TRACY, CA 95376-5263
(209) 914-3710

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
35585
CA
363A00000X
Physician Assistant
Primary

Other

Enumeration date
11/26/2018
Last updated
05/12/2025
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