Individual
DANIELA DIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(305) 491-7526
Mailing address
6301 SW 67TH CT, SOUTH MIAMI, FL 33143-1915
(305) 491-7526
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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