Individual
DORA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 W LACEY BLVD, HANFORD, CA 93230-5901
(559) 235-9239
Mailing address
1222 W LACEY BLVD, HANFORD, CA 93230-5901
(559) 235-9239
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
06/30/2025
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