Individual
DIANA PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13592 BLUE SPRUCE CT, MORENO VALLEY, CA 92553-6502
(951) 472-9088
Mailing address
13592 BLUE SPRUCE CT, MORENO VALLEY, CA 92553-6502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
02/10/2021
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