Individual
LISA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
13651 CANTARA ST, PANORAMA CITY, CA 91402
(818) 375-2000
Mailing address
29969 MULEDEER LN, CASTAIC, CA 91384-4503
(760) 549-3446
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
26739
CA
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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