Healthcare Provider Details

I. General information

NPI: 1093518292
Provider Name (Legal Business Name): NEFERTERY MOYA-DIAZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 FREEDOM BLVD STE 3B
WATSONVILLE CA
95076-2777
US

IV. Provider business mailing address

18B JEFFERSON ST
WATSONVILLE CA
95076-4315
US

V. Phone/Fax

Practice location:
  • Phone: 559-287-8934
  • Fax:
Mailing address:
  • Phone: 209-252-9057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: