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Individual

DIANA LIZ FRUZZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
638 CAMINO DE LOS MARES, SAN CLEMENTE, CA 92673-2848
(949) 487-9791
Mailing address
638 CAMINO DE LOS MARES, SAN CLEMENTE, CA 92673-2848
(949) 487-9791

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95020841
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/02/2022
Last updated
12/22/2023
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