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Individual

DOMINGO BAEZ-DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4494 PALMER RD, BETHESDA, MD 20814
(301) 295-4000
Mailing address
3 EUCALYPTUS RD APT B, ANNAPOLIS, MD 21402-1021
(210) 376-9517

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R196970
MD

Other

Enumeration date
03/17/2021
Last updated
03/17/2021
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