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Julia Nicole Diaz
Student in an Organized Health Care Education/Training Program in Ronkonkoma, New York
NPI 1871224964

Julia Nicole Diaz is a Student in an Organized Health Care Education/Training Program based in Port Jefferson Station, NY. Julia Nicole Diaz practices in Ronkonkoma, NY. The NPI Number for Julia Nicole Diaz is 1871224964 and holds a License No. (New York).

The current practice location address for Julia Nicole Diaz is 624 Hawkins Ave, Ronkonkoma, NY and can be reached out via phone at 631-240-3579.

Location: 624 Hawkins Ave, Ronkonkoma, NY, 11776-8030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871224964
Provider Name
Julia Nicole Diaz
Credential
Provider Entity Type
Individual
Gender
Female
Address
624 Hawkins Ave, Ronkonkoma, NY, 11776-8030
Phone Number
631-240-3579
Fax Number
Provider Enumeration Date
06/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
624 Hawkins Ave
City
Ronkonkoma
State
New York
Zip
11779-2375
Phone Number
631-240-3579
Fax Number
person
Provider Business Mailing Address Details
Address
624 Hawkins Ave
City
Ronkonkoma
State
New York
Zip
11779-2375
Phone Number
631-240-3579
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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