Individual
AILEEN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2567 E WASHINGTON ST, LONG BEACH, CA 90810-1538
(310) 897-1883
Mailing address
2567 E WASHINGTON ST, LONG BEACH, CA 90810-1538
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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