Individual provider · Type 1 NPI

Carmen Marie Diaz, RDA

Student in an Organized Health Care Education/Training Program · Tacoma, WA

NPI number 1144551003 Active

Practice location

7241 S Monroe St
Tacoma, WA 98409-2445

Call (253) 678-2564 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant 126800000XD160049121 (WA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1144551003

Carmen Marie Diaz, RDA's National Provider Identifier is 1144551003, issued on Jan 15, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tacoma, WA. The record was last updated on Jan 15, 2010.