Individual
MS. DIANNA LYNN CUSHING-OGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 INLAND EMPIRE BLVD, ONTARIO, CA 91764-4898
(909) 458-1370
Mailing address
35326 TRAILSIDE DR, LAKE ELSINORE, CA 92532-2593
(951) 443-6344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
04/07/2021
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