Individual
DIANA NEVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
962 OVERTON DR, SAN JACINTO, CA 92582-4250
(951) 654-8600
Mailing address
962 OVERTON DR, SAN JACINTO, CA 92582-4250
(951) 654-8600
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
00017501
CA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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