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Individual

JOSE DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
5404 E 135TH ST, GARFIELD HEIGHTS, OH 44125-3214
(216) 475-5863
Mailing address
PO BOX 25245, GARFIELD HEIGHTS, OH 44125-0245

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.CNP.023277
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.023277
OH

Other

Enumeration date
08/13/2018
Last updated
05/29/2025
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