Diaz, Gina Rose

Diaz, Gina Rose is an individual health care provider with primary practice located at 135 W Dares Beach Rd Ste 102 , Prince Frederick MD 20678-3127. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Diaz, Gina Rose can be contacted via phone (443) 295-7100.

Contact Information

Primary practice address
135 W Dares Beach Rd Ste 102 Prince Frederick MD 20678-3127
Phone: (443) 295-7100
Fax: (443) 295-7555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 01289 Maryland

Profile Details

NPI number 1265868848
LBN Legal business name Diaz, Gina Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2013
Last updated Apr 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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