Individual
ALEJANDRO DIAZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
719 W HENRY ST, PASCO, WA 99301-4117
(509) 308-4825
Mailing address
PO BOX 4695, 719 W. HENRY ST., PASCO, WA 99302-4695
(509) 308-4825
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC10659
WA
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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