Individual
ANTONIA TAN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
3772 TIBBETTS ST, RIVERSIDE, CA 92506-2605
(888) 743-7526
Mailing address
3772 TIBBETTS ST, RIVERSIDE, CA 92506-2605
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
95400636
CA
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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