Individual
KARLA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6415 MELANZANE AVE UNIT 2, SAN ANTONIO, TX 78233-4235
(512) 239-9557
Mailing address
6415 MELANZANE AVE UNIT 2, SAN ANTONIO, TX 78233-4235
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
351509
TX
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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