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1053604058
DIANA VALLARTA KOROI
SAN JOSE, CA
NPI
1053604058
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Former Name
DIANA RENEE VALLARTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: CA LM303)
Enumeration Date
2011-05-24
Last Update Date
2022-04-06
Business Address
DIANA VALLARTA KOROI LM, CPM
967 W. HEDDING ST STE 110
SAN JOSE, CA 95126
Phone number: 408-886-4961
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Mailing Address
DIANA VALLARTA KOROI LM, CPM
PO BOX 2179
LOS GATOS, CA 95031
Phone number: 408-886-4961
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