Individual
DIANE MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14300 SHADOW DR, FONTANA, CA 92337-0100
(909) 357-5750
Mailing address
14300 SHADOW DR, FONTANA, CA 92337-0100
(909) 357-5750
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
230266904
CA
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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