Individual
DIVA NIAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5674 STONERIDGE DR STE 207, PLEASANTON, CA 94588-8592
(925) 520-0005
Mailing address
5674 STONERIDGE DR STE 207, PLEASANTON, CA 94588-8592
(925) 520-0005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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