Individual
CARMEN RENE' DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41990 COOK ST STE 801A, PALM DESERT, CA 92211-6103
(442) 666-3217
(760) 616-7035
Mailing address
41990 COOK ST STE 801A, PALM DESERT, CA 92211-6103
(442) 666-3217
(760) 616-7035
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/27/2023
Last updated
05/30/2025
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