Individual
VANESSA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-5039
Mailing address
1411 E 31ST ST, OAKLAND, CA 94602-1018
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
95078767
CA
Other
Enumeration date
02/07/2019
Last updated
02/25/2019
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