Individual
MR. GARY H. DIEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CNOR, RNFA
Contact information
Practice address
28062 BAXTER RD, MURRIETA, CA 92563-1401
(951) 290-4000
Mailing address
23997 COLMAR LN, MURRIETA, CA 92562-1977
(626) 202-5636
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
637910
CA
Other
Enumeration date
10/21/2011
Last updated
07/13/2023
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