Individual
GRISELLE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 CARDINAL DR., KISSIMMEE, FL 34759
(787) 975-8787
Mailing address
545 CARDINAL DR., KISSIMMEE, FL 34759
(787) 975-8787
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
0000000
FL
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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