Individual
MS. CONSUELO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 NW 29TH MANOR, POMPANO, FL 33069
(954) 229-1369
Mailing address
3001 S OCEAN DR APT 1211, HOLLYWOOD, FL 33019-2873
(786) 709-5426
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1898032
FL
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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