Individual
MRS. CAROLYN ALICE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
222 W HENDERSON AVE, PORTERVILLE, CA 93257-1731
(559) 784-5483
Mailing address
2203 N ARBOR AVE, HANFORD, CA 93230-8111
(559) 359-4409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
470229
CA
Other
Enumeration date
05/19/2006
Last updated
01/06/2020
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