Individual
AIDEE MARIBEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11741 TELEGRAPH RD STE A, SANTA FE SPRINGS, CA 90670-6829
(562) 801-0318
(562) 949-3642
Mailing address
11741 TELEGRAPH RD STE A, SANTA FE SPRINGS, CA 90670-6829
(562) 801-0318
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN692190
CA
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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