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Individual
DIEGO NICOLAS ECHAVESTE-AVILA
Active
Individual
DIEGO NICOLAS ECHAVESTE-AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
08/05/2022
Last updated
08/06/2024
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