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ALEXANDRA DIAZ

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1194373480

Individual Registrant:
 ALEXANDRA  DIAZ 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
40 E MINARETS AVE  PINEDALE, CA 93650-1239 US
Tel: 855-343-1057  Fax: 844-587-6405

Contact information for business:
40 E MINARETS AVE  PINEDALE, CA 93650-1239 US
Tel: 855-343-1057  Fax: 844-587-6405

Registration Information:
NPI: 1194373480
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N171M00000XOther Service Providers
Case Manager/Care Coordinator
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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