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Individual

DIANE SCHOENDIENST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 N PEPPER AVE STE 1M107, COLTON, CA 92324-1801
(909) 580-2178
Mailing address
400 N PEPPER AVE STE 1M107, COLTON, CA 92324-1801
(909) 580-2178

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
NO NUMBER ISSUED
Enumeration date
11/07/2013
Last updated
11/07/2013
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