Individual
NILKA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
103 CHAPIN ST, ST AUGUSTINE, FL 32084-3347
(904) 315-4492
Mailing address
103 CHAPIN ST, ST AUGUSTINE, FL 32084-3347
(904) 315-4492
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN1302381
FL
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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