Individual
ALFONSO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4820 BUSINESS CENTER DR STE 210, FAIRFIELD, CA 94534-1696
(707) 224-8266
Mailing address
176 COLOMA WAY, VALLEJO, CA 94589-1419
(707) 534-0409
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
141546
CA
Other
Enumeration date
08/24/2022
Last updated
09/20/2023
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