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NPI Profile for STEPHANIE D DIAZ in JAMAICA PLAIN, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Care Medicine |
163WC0200X |
| NPI # | 1790352243 |
|
| Status | Active | |
| Credentials | CRNA (Certified Registered Nurse Anesthetist) | |
| Entity | Individual | |
| Enumeration date | 06/04/2021 | |
| Last updated | 12/02/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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STEPHANIE D DIAZ
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STEPHANIE D DIAZ, CRNA