Provider Demographics
NPI:1407663420
Name:DIAKUN-SAJEK, MALGORZATA (CPM)
Entity type:Individual
Prefix:
First Name:MALGORZATA
Middle Name:
Last Name:DIAKUN-SAJEK
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20579 W TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-7736
Mailing Address - Country:US
Mailing Address - Phone:716-601-5362
Mailing Address - Fax:
Practice Address - Street 1:20579 W TERRACE LN
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-7736
Practice Address - Country:US
Practice Address - Phone:716-601-5362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ288176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife