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Individual

MAGDALINE DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(858) 249-6751

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN669691
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95001305
CA
367500000X
Certified Registered Nurse Anesthetist
R234769
MD

Other

Enumeration date
04/04/2017
Last updated
10/22/2020
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