Tara Diaz, LAC

NPI #1407284581 in El Segundo, California

Provider Information

NPI Number: 1407284581
Entity Type: Individual
Name: Tara Diaz, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Oct 28, 2013
Last Updated: Jul 11, 2019

Practice Location

Address: 519 MAIN ST
City: El Segundo
State: California
ZIP Code: 90245
Phone: (424) 258-0738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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