Individual
GILSA CORREA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7321 BALMER ST BLDG 570, HILL AFB, UT 84056-5012
(801) 777-7027
(801) 586-7435
Mailing address
1633 24TH ST, OGDEN, UT 84401-3001
(210) 241-6242
(801) 586-7435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
12764193-3102
UT
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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