Individual
RENEE' DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1141 WHITNEY AVE, BLDG #4, GRETNA, LA 70056-5011
(504) 263-1700
(504) 263-1711
Mailing address
1141 WHITNEY AVE, BLDG #4, GRETNA, LA 70056-5011
(504) 263-1700
(504) 263-1711
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1478717
—
LA
Enumeration date
10/16/2006
Last updated
07/09/2007
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