Individual
JEANNETTE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 E 8TH ST APT 1101, LOS ANGELES, CA 90014-2395
(562) 712-6232
Mailing address
217 E 8TH ST APT 1101, LOS ANGELES, CA 90014-2395
(562) 712-6232
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
507
CA
Other
Enumeration date
02/08/2019
Last updated
04/01/2020
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