Individual
AMELIA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S HALE AVE SPC 54, ESCONDIDO, CA 92029-2177
(760) 729-8295
Mailing address
5663 YARBOROUGH DR, RIVERSIDE, CA 92505-2336
(310) 430-6011
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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