Most Relevant Information
Provider Data
| NPI Number: | 1003372244 |
| Provider Name: | JULIANA DIAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH15116 |
Most Important Dates
| Enumeration Date: | 02/12/2019 |
| Last Updated: | 02/12/2019 |
Provider Practice Location
4175 W 20TH AVE
HIALEAH
FL
330125874
Practice Location Phone/Fax
| Phone: | 3058250300 |
| Fax: |
Provider Mailing Location
5106 NW 47TH ST
TAMARAC
FL
333193706
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |