Individual
IRMA JUDITH DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43340 PEARTREE LN, HEMET, CA 92544-6584
(951) 337-8288
Mailing address
43340 PEARTREE LN, HEMET, CA 92544-6584
(951) 337-8288
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
BRPC004053-11-2018
CA
Other
Enumeration date
06/01/2021
Last updated
12/13/2022
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