Search › Wisconsin › 124Q00000X
Jessica Diaz, RDH
NPI 1861849945 · on the registry since 2016
Practice
- Address
- 1270 W Main St
Sun Prairie, WI 53590 - Phone
- (608) 825-7100
- Fax
- (608) 837-9134
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin