Individual
DIANA LOPEZ SUASTEGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7120 N MARKS AVE, FRESNO, CA 93711-0268
(559) 439-5437
Mailing address
3216 E HOME AVE, FRESNO, CA 93703-4043
(559) 720-1952
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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