Individual
MISS BRENDA LUCRECIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 S TUSTIN ST, ORANGE, CA 92866-3425
(714) 922-4152
Mailing address
326 E AMERIGE AVE APT A, FULLERTON, CA 92832-2051
(714) 922-4152
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
615555
CA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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