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DIANA AGRAZ PA
Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1972900561
Individual Registrant: DIANA AGRAZ PA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
116 S PALISADE DR SUITE 110 SANTA MARIA, CA 93454-8904 US
Tel: 805-349-7133 Fax: 805-349-7137
Tel: 805-349-7133 Fax: 805-349-7137
Contact information for business:
3599 SUELDO ST SUITE 110 SAN LUIS OBISPO, CA 93401-7386 US
Tel: 805-786-2500 Fax: 805-781-0423
Tel: 805-786-2500 Fax: 805-781-0423
Registration Information:
NPI: 1972900561
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical | CA | 52086 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
