Jacob Arch Diaz

NPI #1912593211 in Elyria, Ohio

Provider Information

NPI Number: 1912593211
Entity Type: Individual
Name: Jacob Arch Diaz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Enumeration Date: Dec 21, 2020
Last Updated: Dec 21, 2020

Practice Location

Address: 110 CHASE ST
City: Elyria
State: Ohio
ZIP Code: 44035-5916
Phone: (440) 522-4638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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