Individual
DR. BETSY ENID BURGOS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHIR.CH.61363606
Contact information
Practice address
204 PINEHURST DR SW STE 103, TUMWATER, WA 98501-4500
(360) 352-8112
Mailing address
1534 VISTA LOOP SW APT 32-102, TUMWATER, WA 98512-0472
(507) 589-5406
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR.CH.61363606
WA
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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