Individual
AMINATA C DIAWARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14677 MERRILL AVE, FONTANA, CA 92335-4219
(951) 643-2340
Mailing address
14677 MERRILL AVE, FONTANA, CA 92335-4219
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
273341
CA
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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