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Individual
MR. JOHN ANTHONY DIAZ
Active
Individual
MR. JOHN ANTHONY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
698617
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
698617
CA
171M00000X
Case Manager/Care Coordinator
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
03/27/2007
Last updated
01/06/2014
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