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NPI Code Detail

MEDICARE: GENIA TOWNER-DIAZ

MEDICARE: GENIA TOWNER-DIAZ
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
1164X00000XLicensed Vocational Nurse207040CA

General Provider Information

NPI Number : 1790552586
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENIA TOWNER-DIAZ
Provider Business Mailing Address
First Line : 5300 SOQUEL AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-7805
Country : US
Telephone Number : 831-946-9298
Fax Number :
Provider Business Practice Location Address
First Line : 5300 SOQUEL AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-7805
Country : US
Telephone Number : 831-946-9298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2023
Last Update Date : 02/02/2026

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Directions to “ GENIA TOWNER-DIAZ ” Practice Location

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