Individual
SARA ALEJANDRA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
401 MENDEL LN, TITUSVILLE, FL 32796-2645
(407) 575-6463
(321) 567-5407
Mailing address
401 MENDEL LN, TITUSVILLE, FL 32796-2645
(407) 575-6463
(321) 567-5407
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
186096
FL
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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