Individual
TANIA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 E MAPLE ST, DEMING, NM 88030-3814
(575) 546-9712
Mailing address
1000 E MAPLE ST, DEMING, NM 88030-3814
(575) 546-9712
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-59069
NM
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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