Individual
LISSET J DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
932 E 34TH ST, JOPLIN, MO 64804-3932
(417) 347-5800
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7579
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2017022320
MO
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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