Individual
ANGELICA JOLEEN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14135 FRANCISQUITO AVE STE 100, BALDWIN PARK, CA 91706-6105
(626) 430-2300
Mailing address
901 6TH AVE SPC 287, HACIENDA HEIGHTS, CA 91745-1225
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6397
CA
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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