Individual
CLAUDIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23550 GARDEN ST, MOUNT VERNON, WA 98274
(360) 540-6776
Mailing address
23550 GARDEN ST, MOUNT VERNON, WA 98274
(360) 540-6776
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WA
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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