Individual
MS. DIANE PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-4759
Mailing address
13244 RAMONA BLVD, BALDWIN PARK, CA 91706-3806
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/26/2008
Last updated
11/25/2021
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