JACKIE E DIAZ

SAN DIEGO, CA
NPI1295052090
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  213510)
Enumeration Date2010-05-03
Last Update Date2010-08-25
Business Address
-- JACKIE E DIAZ LVN
5202 UNIVERSITY AVE CENTRAL REGION PUBLIC HEALTH CENTER
SAN DIEGO, CA 92105-2268
Phone number: 619-229-5400
Mailing Address
-- JACKIE E DIAZ LVN
512 ALAMITOS WAY
SAN MARCOS, CA 92078-6158
Phone number: 760-727-5510
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