Individual
JOANNA YVETTE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3625
(310) 632-0415
Mailing address
3712 PLATT AVE, LYNWOOD, CA 90262-3615
(310) 346-2283
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
266651
CA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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