HERNAN ENSALDO DIAZ

INDEPENDENCE, KS
NPI1437766946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: KS  11801)
Enumeration Date2020-09-29
Last Update Date2020-09-29
Business Address
HERNAN ENSALDO DIAZ
3751 W MAIN ST
INDEPENDENCE, KS 67301-8446
Phone number: 620-331-1748
Mailing Address
HERNAN ENSALDO DIAZ
PO BOX 688
INDEPENDENCE, KS 67301-0688
Phone number:
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