Individual
ELIZABETH ELENA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 471-1866
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(864) 908-4590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
81640
HI
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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