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Organization
JOSUE DIAZ
Active
Organization
JOSUE DIAZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSUE DIAZ (SOCIAL WORK INTERN)
(562) 261-3789
Entity
Organization
Contact information
Practice address
11721 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3674
(562) 949-8455
Mailing address
11721 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3674
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
D4363105
CA
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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