Individual
DOLORES DIANE DUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4229 TOYAN DR, DIAMOND SPRINGS, CA 95619-9702
(916) 642-7800
Mailing address
4229 TOYAN DR, DIAMOND SPRINGS, CA 95619-9702
(916) 642-7800
(530) 748-3935
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
164X00000X
Licensed Vocational Nurse
Primary
272086
CA
Other
Enumeration date
10/07/2022
Last updated
12/14/2023
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