JENNIFER DIAZ

CENTRAL ISLIP, NY
NPI1922308428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  303305-1)
Enumeration Date2010-10-30
Last Update Date2010-10-30
Business Address
-- JENNIFER DIAZ LPN
393 EVERGREEN AVE
CENTRAL ISLIP, NY 11722-1906
Phone number: 631-355-1960
Mailing Address
-- JENNIFER DIAZ LPN
393 EVERGREEN AVE
CENTRAL ISLIP, NY 11722-1906
Phone number: 631-355-1960