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Individual
MR. VICTOR ESTEVAN DIAZ
Active
Individual
MR. VICTOR ESTEVAN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AODC #1402
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
CA
Enumeration date
06/27/2012
Last updated
09/05/2023
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