| Melissa Diaz, | |
|
2896 S Seminole Hwy, 9, Fitchburg, WI 53711-7015 | |
| (847) 899-4397 | |
| Not Available |
| Full Name | Melissa Diaz |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2896 S Seminole Hwy, Fitchburg, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558759456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 31786431 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Diaz, 2896 S Seminole Hwy Apt 9, Fitchburg, WI 53711-7015 Ph: (847) 899-4397 | Melissa Diaz, 2896 S Seminole Hwy, 9, Fitchburg, WI 53711-7015 Ph: (847) 899-4397 |
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› Verified 3 days ago
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