Jacinto Diaz, Susana
Jacinto Diaz, Susana is an sole proprietor health care provider with primary practice located at 812 Saint Francis Dr , Petaluma CA 94954-4320. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Jacinto Diaz, Susana can be contacted via phone (209) 631-3042.Contact Information
Primary practice address
812 Saint Francis Dr
Petaluma CA 94954-4320
Phone: (209) 631-3042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 275554 | California |
Profile Details
| NPI number | 1851714521 |
|---|---|
| LBN Legal business name | Jacinto Diaz, Susana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2014 |
| Last updated | Jul 9th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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