Individual
CHRISTINE DIEGO MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
(408) 335-1919
Mailing address
4689 SNEAD DR, SANTA CLARA, CA 95054-1651
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 232475
CA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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