Individual
DIANE MICHELLE HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-3910
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-3910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G76767
CA
Other
Enumeration date
11/13/2006
Last updated
12/01/2021
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