DORTHEA F DIAZ

DOTHAN, AL
NPI1629036520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  I-040977)
Enumeration Date2006-05-02
Last Update Date2007-11-27
Business Address
-- DORTHEA F DIAZ CRNA
1108 ROSS CLARK CIR
DOTHAN, AL 36301-3022
Phone number: 334-793-8087
Mailing Address
-- DORTHEA F DIAZ CRNA
PO BOX 1928
DOTHAN, AL 36302-1928
Phone number: 334-793-8087