Individual
ERNIE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3812 COFFEE, C, BAKERSFIELD, CA 93308
(661) 588-5010
(661) 588-5012
Mailing address
3812 COFFEE ROAD, C, BAKERSFIELD, CA 93308
(661) 588-5010
(661) 588-5012
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46-3405174
CA
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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