Individual
ROBERTO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 367-5486
Mailing address
364 EL MONTE ST, SAN JACINTO, CA 92583-5157
(951) 367-5486
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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