Individual
RAYMOND ANTHONY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.S.S
Contact information
Practice address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(661) 726-2850
Mailing address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(661) 726-2850
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-QVDMKB
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/25/2024
Last updated
02/05/2025
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