Individual
MRS. VANESSA M DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, IBCLC
Contact information
Practice address
641 W LOCUST CT, LOUISVILLE, CO 80027-1018
(520) 576-7529
Mailing address
641 W LOCUST CT, LOUISVILLE, CO 80027-1018
(520) 576-7529
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-314470
CO
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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