EMILIA M DIAZ

SEYMOUR, IN
NPI1205469723
Former NameEMILIA M RODRIGUEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002897A)
Additional Taxonomies363A00000X Physician Assistant
(Licence: IN  10002897)
Enumeration Date2020-02-13
Last Update Date2023-10-10
Business Address
EMILIA M DIAZ PA
1414 E TIPTON ST
SEYMOUR, IN 47274-3533
Phone number: 812-405-2039
Mailing Address
EMILIA M DIAZ PA
5516 CHERRY BIRCH DR
INDIANAPOLIS, IN 46237-3804
Phone number: 260-580-7413