Individual
DIANE TOSHIYE STAUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER, 16360 ROSCOE BLVD, VAN NUYS, CA 91406
(818) 901-4830
(818) 901-8985
Mailing address
1985 PENNGROVE ST, SIMI VALLEY, CA 93065-2373
(805) 558-8586
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN225233
CA
225400000X
Rehabilitation Practitioner
—
CA
Other
Enumeration date
04/05/2021
Last updated
04/08/2021
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