Individual
IGNACIO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10510 MARSEN ST, EL MONTE, CA 91731-1546
(626) 652-2650
Mailing address
10510 MARSEN ST, EL MONTE, CA 91731-1546
(626) 652-2650
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95070155
CA
Other
Enumeration date
03/06/2021
Last updated
03/06/2021
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