Most Relevant Information
Provider Data
| NPI Number: | 1003641465 |
| Provider Name: | SHANTAL MARIE DIAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 374J00000X |
| Specialty: | Doula |
| License Number: | 374J00000X |
Most Important Dates
| Enumeration Date: | 09/05/2024 |
| Last Updated: | 09/05/2024 |
Provider Practice Location
1690 WATSON AVE APT 1E
BRONX
NY
104725488
Practice Location Phone/Fax
| Phone: | 3473668229 |
| Fax: |
Provider Mailing Location
1690 WATSON AVE APT 1E
BRONX
NY
104725488
Provider Mailing Phone/Fax
| Phone: | 3473668229 |
| Fax: |