Individual
JENNIFER DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
113 E F STREET, TEHACHAPI, CA 93561
(661) 822-8223
Mailing address
29325 KIMBERLINA RD., WASCO, CA 93280
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
288354
CA
Other
Enumeration date
07/13/2015
Last updated
07/28/2015
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