Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 35.142948 | OH |
N | 2080P0205X | Pediatric Endocrinologist | MT216252 | PA |
NPI | 1194110023 |
---|---|
Provider Name | Sandra Vazquez Diaz |
First Address | Toledo, OH 43604-1531 |
Second Address | Toledo, OH 43606-3817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2015 |
Last Update Date | 01/09/2021 |