Individual
DESTINY ALEXIS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVE STE 1, RIVERSIDE, CA 92507-2498
(951) 955-7320
Mailing address
2085 RUSTIN AVE STE 1, RIVERSIDE, CA 92507-2498
(951) 955-7320
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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