Most Relevant Information
Provider Data
  | NPI Number: | 1003585357 | 
| Provider Name: | MARIA G DIAZ | 
| Entity Type: | Individual | 
| Taxonomy Code: | 172V00000X | 
| Specialty: | Community Health Worker | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 09/09/2021 | 
| Last Updated: | 09/09/2021 | 
Provider Practice Location
  21120 MERIDIAN E
      
      GRAHAM
      WA
      983388254
  Practice Location Phone/Fax
      | Phone: | 2532854750 | 
| Fax: | 
Provider Mailing Location
  21120 MERIDIAN E
      
      GRAHAM
      WA
      983388254
  Provider Mailing Phone/Fax
      | Phone: | 2532854750 | 
| Fax: |