Individual
DANIELLE YOLANDA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2400 6TH ST NW, WASHINGTON, DC 20059
(805) 625-4201
Mailing address
2815 4TH ST NE APT 2, WASHINGTON, DC 20002-1252
(805) 625-4201
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000024414
—
Other
Enumeration date
05/19/2017
Last updated
12/22/2018
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