Individual
DIEGO ALDO PAZ HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1109
Mailing address
1407 BORDEAU DR, LODI, CA 95242-4506
(209) 210-7366
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42365
CA
Other
Enumeration date
08/09/2025
Last updated
08/09/2025
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