Individual
MRS. ANGELA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
157 COUGAR DR, WEST COLUMBIA, SC 29169-4794
(803) 739-4190
(803) 739-3188
Mailing address
157 COUGAR DR, WEST COLUMBIA, SC 29169-4794
(803) 739-4190
(803) 739-3188
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
53898
SC
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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