JADON LEE DIAZ

EAST STROUDSBURG, PA
NPI1447013446
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RT008443)
Enumeration Date2024-02-01
Last Update Date2024-07-24
Business Address
JADON LEE DIAZ
200 PROSPECT ST
EAST STROUDSBURG, PA 18301-2956
Phone number: 484-547-2626
Mailing Address
JADON LEE DIAZ
5511 STONECROFT LN
ALLENTOWN, PA 18106-9177
Phone number: 484-547-2626
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