Individual
JOSELYN A DIEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 STANTON CIR, WARNER ROBINS, GA 31093-1395
(404) 290-8434
Mailing address
108 STANTON CIR, WARNER ROBINS, GA 31093-1395
(404) 290-8434
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NURSING STUDENT
—
Enumeration date
02/02/2021
Last updated
02/02/2021
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