| Doctor Name: | RENEE' DIAZ |
| NPI Number: | 1023108214 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | |
| Business Practice Address: | 1141 Whitney Ave Bldg #4 Gretna, LA - 700565011 |
| Business Phone Number: | 5042631700 |
| Business Fax Number: | 5042631711 |
| Mailing Address: | 1141 Whitney Ave, Bldg #4 GRETNA |
| State: | LA |
| Postal Code: | 700565011 |
| Phone Number: | 5042631700 |
| Fax Number: | 5042631711 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |