KIMI SAN MIGUEL DIAZ

PEABODY, MA
NPI1114632510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-01-19
Last Update Date2023-10-23
Business Address
Mr. KIMI SAN MIGUEL DIAZ MS, PA-C
300 JUBILEE DR
PEABODY, MA 01960-4068
Phone number: 978-513-7588
Mailing Address
Mr. KIMI SAN MIGUEL DIAZ MS, PA-C
PO BOX 163
MONGAUP VALLEY, NY 12762-0163
Phone number:
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