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NPI Code Detail

MEDICARE: BARBARA DIAZ COMEAUX

MEDICARE:   BARBARA DIAZ COMEAUX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse821539NV

General Provider Information

NPI Number : 1790533149
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA DIAZ COMEAUX
Provider Business Mailing Address
First Line : 4805 BERESIK CIR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-2228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4805 BERESIK CIR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-2228
Country : US
Telephone Number : 678-237-2235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2024
Last Update Date : 05/10/2024

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Directions to “ BARBARA DIAZ COMEAUX ” Practice Location

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