Individual
GABRIELLE MARIA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
(317) 601-6321
Mailing address
3061 1/2 JUNIPER ST, SAN DIEGO, CA 92104-5462
(317) 601-6321
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95267125
CA
Other
Enumeration date
08/22/2022
Last updated
12/26/2022
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