Individual provider · Type 1 NPI
Diana Riestra
Student in an Organized Health Care Education/Training Program · Sewell, NJ
NPI number
1811875487
Active
Practice location
1474 Tanyard Rd Ste C100
Sewell, NJ 08080-4222
Mailing address
1501 Little Gloucester Rd Apt K38
Blackwood, NJ 08012-3530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
2 other providers at this address
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About NPI 1811875487
Diana Riestra's National Provider Identifier is 1811875487, issued on Aug 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sewell, NJ. The record was last updated on Aug 22, 2025.