Individual
CECILIA DAVINA DIAZ-GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28765 SINGLE OAK DR STE 140, TEMECULA, CA 92590-3661
(951) 552-1126
Mailing address
31046 HUMBOLT CT, TEMECULA, CA 92591-7046
(951) 526-4806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25490
CA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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