Provider Demographics
NPI:1427682319
Name:ROJAS, DIANA ALEJANDRA (ELECTROLOGIST/ AEST)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:ALEJANDRA
Last Name:ROJAS
Suffix:
Gender:F
Credentials:ELECTROLOGIST/ AEST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 E BYRON NELSON BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-6183
Mailing Address - Country:US
Mailing Address - Phone:682-831-1931
Mailing Address - Fax:
Practice Address - Street 1:509 E BYRON NELSON BLVD STE C
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:TX
Practice Address - Zip Code:76262-6183
Practice Address - Country:US
Practice Address - Phone:682-831-1931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-28
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist