Individual
MISS BRENDA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1337 W BRADEN CT, ORANGE, CA 92868-1123
(714) 940-7630
Mailing address
1337 W BRADEN CT, ORANGE, CA 92868-1123
(714) 940-7630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
594925
CA
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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