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Individual

JESSICA ANA DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
3514 BROADWAY, RIVIERA BEACH, FL 33404-2332
(888) 562-5442
(562) 276-4825
Mailing address
200 OCEANGATE STE 100, LONG BEACH, CA 90802-4317
(562) 499-6191
(562) 499-6171

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
9259366
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9259366
FL

Other

Enumeration date
01/05/2017
Last updated
07/21/2022
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