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Individual

MRS. EVELYN YVETTE DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
12240 HESPERIA RD STE A, VICTORVILLE, CA 92395-8309
(760) 245-8837
Mailing address
12843 BERRYDALE ST, VICTORVILLE, CA 92392-7923
(909) 910-1404

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
232183
CA

Other

Enumeration date
07/11/2024
Last updated
07/11/2024
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