Individual
JOCELYN RODOLFO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVE STE 2, RIVERSIDE, CA 92507-2498
(951) 509-8200
Mailing address
2085 RUSTIN AVE STE 2, RIVERSIDE, CA 92507-2498
(951) 509-8200
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
226943
CA
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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