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Individual

DIANA LATORRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1691 BURBANK AVE, SANTA ROSA, CA 95407-5903
(707) 545-0102
Mailing address
5434 SONOMA HWY, SANTA ROSA, CA 95409-4330

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
CA
171400000X
Health & Wellness Coach
CA
171M00000X
Case Manager/Care Coordinator
CA
225800000X
Recreation Therapist
CA

Other

Enumeration date
10/20/2025
Last updated
10/20/2025
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