Individual
MS. AMELIA MARIAN DIAZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
1141 BEACH DR E, RETSIL, WA 98360
(360) 895-4700
(360) 895-4453
Mailing address
3375 SE WINDSOR CT, PORT ORCHARD, WA 98366-5850
(360) 769-5585
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
L00003722
WA
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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