Alyse Diaz, RCS
Contractor in Decatur, GA. Individual provider (NPI-1).
NPI number1316603517
StatusActive
Last updated in NPPESNov 11, 2021
Details
- NPI
- 1316603517
- Entity type
- Individual (NPI-1)
- Name
- Alyse Diaz
- Credential
- RCS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 11, 2021
- Certification date
- Nov 11, 2021
- Last updated
- Nov 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
| 246XS1301X | Spec/Tech, Cardiovascular, Sonography | – | – | |
| 2471V0105X | Radiologic Technologist, Vascular Sonography | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 246W00000X | Technician, Cardiology | – | – |
Practice location
2935 Cedar Brook DrDecatur, GA 30033-6017
Phone 404-556-5714
Mailing address
2935 Cedar Brook DrDecatur, GA 30033-6017
Phone 404-556-5714
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