Individual
DIEGO BARROSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11982 OCOTILLO DR, FONTANA, CA 92337-0427
(909) 997-5726
Mailing address
11982 OCOTILLO DR, FONTANA, CA 92337-0427
(909) 997-5726
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D5546158
CA
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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