KIM DIAZ

FORT WAYNE, IN
NPI1588184139
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WD0400X Registered Nurse, Diabetes Educator
(Licence: IN  28149783A)
Enumeration Date2017-06-26
Last Update Date2023-10-12
Business Address
KIM DIAZ
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
KIM DIAZ
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: