Individual
MRS. MARY-LOUISE DIAZ-MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 PARK LN, APT. 5C, MOUNT VERNON, NY 10552-3449
(914) 925-5188
(914) 925-5155
Mailing address
1 PARK LN, APT. 5C, MOUNT VERNON, NY 10552-3449
(914) 925-5188
(914) 925-5155
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
177367-1
NY
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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