Individual
MS. DIANA DIAZ MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 W 11TH ST STE 119, TRACY, CA 95376-3860
(209) 237-2484
Mailing address
311 RAY ST, PLEASANTON, CA 94566-6621
(925) 399-5796
(925) 249-5121
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6249
CA
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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