Individual
MS. DIANA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
1001 S DIAMOND AVE, DEMING, NM 88030-4710
(575) 546-2047
Mailing address
1321 E POPLAR ST, DEMING, NM 88030-4807
(575) 546-5951
(575) 546-5994
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
333345
NM
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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