JUAN DIAZ

SUNRISE, FL
NPI1740791441
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-10-20
Last Update Date2017-10-20
Business Address
JUAN DIAZ
3055 NW 126TH AVE APT 103
SUNRISE, FL 33323-6332
Phone number: 954-610-1935
Mailing Address
JUAN DIAZ
3055 NW 126TH AVE APT 103
SUNRISE, FL 33323-6332
Phone number: 954-610-1935
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