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Jose Luis Diaz, MA6056739
Specialist in Tumwater, Washington
NPI 1265815260

Jose Luis Diaz is a Specialist based in Olympia, WA. Jose Luis Diaz practices in Tumwater, WA and has the professional credentials of MA6056739. The NPI Number for Jose Luis Diaz is 1265815260 and holds a License No. MA 6056739 (Washington).

The current practice location address for Jose Luis Diaz is 2330 Mottman Rd Sw, Tumwater, WA and can be reached out via phone at 360-520-1917.

Location: 2330 Mottman Rd Sw, Tumwater, WA, 98502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265815260
Provider Name
Jose Luis Diaz
Credential
MA6056739
Provider Entity Type
Individual
Gender
Male
Address
2330 Mottman Rd Sw, Tumwater, WA, 98502
Phone Number
360-520-1917
Fax Number
Provider Enumeration Date
07/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2330 Mottman Rd Sw
City
Tumwater
State
Washington
Zip
98512-6232
Phone Number
360-520-1917
Fax Number
person
Provider Business Mailing Address Details
Address
2330 Mottman Rd Sw
City
Tumwater
State
Washington
Zip
98512-6232
Phone Number
360-520-1917
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA 6056739 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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