Individual
MR. EZRAH N DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 300-8800
Mailing address
2629 ADAMS LN, MANTECA, CA 95337-9043
(209) 884-2299
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
693710
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/06/2017
Last updated
06/03/2025
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