Maria G Diaz

Individual provider Active NPI Community Health Worker · Graham, WA

NPI 1003585357 · NPPES record last updated Sep 9, 2021

Key facts

NPI
1003585357
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
21120 Meridian E
Graham, WA 98338-8254
Phone
(253) 285-4750
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

21120 Meridian E
Graham, WA 98338-8254

Mailing address

21120 Meridian E
Graham, WA 98338-8254
Phone (253) 285-4750

Other providers in Graham, WA

All providers in Graham, WA · Community Health Worker in Washington

Sources for this page

Verify at the official NPI Registry.