Most Relevant Information
Provider Data
| NPI Number: | 1003016288 |
| Provider Name: | NILKA DIAZ LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | PN1302381 |
Most Important Dates
| Enumeration Date: | 07/25/2007 |
| Last Updated: | 07/25/2007 |
Provider Practice Location
103 CHAPIN ST
ST AUGUSTINE
FL
320843347
Practice Location Phone/Fax
| Phone: | 9043154492 |
| Fax: |
Provider Mailing Location
103 CHAPIN ST
ST AUGUSTINE
FL
320843347
Provider Mailing Phone/Fax
| Phone: | 9043154492 |
| Fax: |