Individual provider · Type 1 NPI

Geneva Diosdado

Student in an Organized Health Care Education/Training Program · Nacogdoches, TX

NPI number 1154802841 Active

Practice location

1936 North St
Nacogdoches, TX 75965-3940

Call (936) 468-3401 Map

Mailing address

513 Devereaux St
Diboll, TX 75941-1712

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1154802841

Geneva Diosdado's National Provider Identifier is 1154802841, issued on Aug 22, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nacogdoches, TX. The record was last updated on Aug 22, 2018.