Individual
MS. JOSEFINA A DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4341 B ST, SUITE 100, ANCHORAGE, AK 99503-5927
(907) 770-0862
Mailing address
17019 RIDDELL ST, EAGLE RIVER, AK 99577-7673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
19465
AK
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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