Individual
CHARLENE SCARLETT DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
115 W 2ND ST, CASA GRANDE, AZ 85122-4406
(520) 836-1688
Mailing address
625 N PLAZA DR, APACHE JUNCTION, AZ 85120-5501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224410
AZ
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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