Individual
MARY B DIEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
115 PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6340
(719) 447-4791
Mailing address
409 W CHEYENNE RD, COLORADO SPRINGS, CO 80906-3268
(719) 633-6827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
101236
CO
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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