Individual
JENNA NATALIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3196 S MARYLAND PKWY STE 309, LAS VEGAS, NV 89109-2314
(702) 791-0477
(702) 791-6831
Mailing address
3196 S MARYLAND PKWY STE 309, LAS VEGAS, NV 89109-2314
(702) 791-0477
(702) 791-6831
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2019017047
MO
2080P0206X
Pediatric Gastroenterology Physician
Primary
22162
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2016
Last updated
08/03/2025
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