Individual
LILY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18111 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-6728
(714) 378-7000
Mailing address
9305 SPECTRUM, IRVINE, CA 92618-3421
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95113104
CA
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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