Individual
MS. LISA MARIE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CDE
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9501
(909) 865-9740
Mailing address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9501
(909) 865-9740
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
543304
CA
163WD0400X
Diabetes Educator Registered Nurse
Primary
21700890
CA
163WD0400X
Diabetes Educator Registered Nurse
578771
CA
Other
Enumeration date
09/18/2014
Last updated
03/13/2019
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