Individual
MS. DIANA WILLOW DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2627 FOREST AVE, CHICO, CA 95928-4384
(530) 879-9030
(530) 879-9030
Mailing address
2627 FOREST AVE, CHICO, CA 95928-4384
(530) 879-9030
(530) 879-9030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT267
CA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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