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Individual
DR. MANUELA ANA DIAZ
Active
Individual
DR. MANUELA ANA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22309
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22309
PSYCHOLOGY LICENSE
CA
Enumeration date
01/30/2009
Last updated
06/22/2018
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