Diaz, Jenna Natalia

Diaz, Jenna Natalia is an individual health care provider with primary practice located at 1 Childrens Pl Cb 8116 , St. Louis MO 63110. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Diaz, Jenna Natalia can be contacted via phone (314) 454-6173.

Contact Information

Primary practice address
1 Childrens Pl Cb 8116 St. Louis MO 63110
Phone: (314) 454-6173
Fax: (314) 454-2412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2019017047 Missouri

Profile Details

NPI number 1730534843
LBN Legal business name Diaz, Jenna Natalia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2016
Last updated Jul 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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