Individual
YANA MARIA VISSIA DULAY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10700 RESEDA BLVD, NORTHRIDGE, CA 91326-3133
(818) 831-0058
(818) 831-1749
Mailing address
21500 BURBANK BLVD, WOODLAND HILLS, CA 91367-7038
(818) 742-8045
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197606826
CA
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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