Individual
MISS DIANA FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1256 DUARTE RD, DUARTE, CA 91010
(414) 578-6651
Mailing address
2080 W EMPIRE AVE # 1073, BURBANK, CA 91504-3434
(414) 578-6651
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
CPT-01011070
CA
163W00000X
Registered Nurse
Primary
95107388
CA
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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