Most Relevant Information
Provider Data
| NPI Number: | 1003537267 |
| Provider Name: | MARTHA DIAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 113109 |
Most Important Dates
| Enumeration Date: | 09/07/2022 |
| Last Updated: | 09/07/2022 |
Provider Practice Location
808 5TH AVE
DES MOINES
IA
503091307
Practice Location Phone/Fax
| Phone: | 5152442267 |
| Fax: |
Provider Mailing Location
808 5TH AVE
DES MOINES
IA
503091307
Provider Mailing Phone/Fax
| Phone: | 5152442267 |
| Fax: |