Individual
DIANA DETCHEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15593 OAKDALE RD, CHINO HILLS, CA 91709-2439
(818) 288-6882
Mailing address
15593 OAKDALE RD, CHINO HILLS, CA 91709-2439
(818) 288-6882
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95046769
CA
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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