Individual
COURTNEY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 W STILLWELL AVE, DE QUEEN, AR 71832-2860
(870) 642-4214
Mailing address
307 W STILLWELL AVE, DE QUEEN, AR 71832-2860
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN102887
AR
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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