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Individual
MARIA JENNIFER FRANCIS DIAZ
Active
Individual
MARIA JENNIFER FRANCIS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22031
SC
363L00000X
Nurse Practitioner
R112353
MD
363LA2200X
Adult Health Nurse Practitioner
R112353
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402803100
—
MD
Enumeration date
06/27/2006
Last updated
08/14/2018
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