Individual
DIANA BAILEY-TUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
149 AVENIDA GRANADA FL 2, SAN CLEMENTE, CA 92672-4055
(949) 303-8233
Mailing address
2813 VIA MONTECITO, SAN CLEMENTE, CA 92672-3623
(949) 303-8233
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
25001
CA
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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