Individual
CRISTINA FAVIOLA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
210 BALDWIN AVE, SAN MATEO, CA 94401-3915
(650) 579-6581
Mailing address
651 10TH AVE, MENLO PARK, CA 94025-1807
(575) 640-6653
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95089824
CA
363LF0000X
Family Nurse Practitioner
Primary
95024441
CA
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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