Individual
MARISA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
715 W COURT ST, PASCO, WA 99301-4153
(509) 543-1980
Mailing address
PO BOX 1452, PASCO, WA 99301-1223
(509) 543-1980
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00157070
WA
163WC1500X
Community Health Registered Nurse
RN00157070
WA
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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