Individual
GENARO F DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
1779 W YOSEMITE AVE, MANTECA, CA 95337-5130
(209) 824-4200
Mailing address
1779 W YOSEMITE AVE, MANTECA, CA 95337-5130
(209) 824-4200
Taxonomy
Speciality
Code
Description
License number
State
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
Primary
25903
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25903
RCP
CA
Enumeration date
02/07/2019
Last updated
01/03/2022
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