Individual
DOLORES DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1808 COLONIAL VILLAGE LN, SUITE 103, LANCASTER, PA 17601-6745
(717) 391-0172
(717) 391-7771
Mailing address
1808 COLONIAL VILLAGE LN, SUITE 103, LANCASTER, PA 17601-6745
(717) 391-0172
(717) 391-7771
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN096972L
PA
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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