NPI 1104052687
Jessica Diaz
Practice location
- Address
- 13716 Sherman Way, Van Nuys, CA 91405-2626
- Phone
- (818) 988-2020
- Mailing address
- 13716 Sherman Way, Van Nuys, CA 91405
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1104052687
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Jun 2009
- Record last updated
- 10 Jun 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.