Individual
SAMANTHA GESTIDO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 867-6000
Mailing address
1401 3RD AVE N APT 218, NASHVILLE, TN 37208-3274
(786) 338-5181
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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