Individual
MRS. JENNIFER ANN DIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 EL CAMINO REAL, TUSTIN, CA 92780-3601
(714) 501-8246
Mailing address
155 EL CAMINO REAL, TUSTIN, CA 92780-3601
(714) 501-8246
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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