Individual
MRS. JESSICA ITZEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
323 ROCKY LANE DR, MIDLAND, TX 79703-6063
(432) 978-7697
Mailing address
323 ROCKY LANE DR, MIDLAND, TX 79703-6063
(432) 978-7697
(432) 978-7697
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
852799
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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