Individual
ADELINA C DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 N RAILROAD AVE, ESPANOLA, NM 87532-3147
(505) 747-7178
Mailing address
1227 N RAILROAD AVE, ESPANOLA, NM 87532-3147
(505) 747-8187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
73257
AZ
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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