FREDY JESUS DIAZ

BIG BEAR LAKE, CA
NPI1083430854
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-11-26
Last Update Date2024-11-26
Business Address
FREDY JESUS DIAZ
PO BOX 6609
BIG BEAR LAKE, CA 92315-6609
Phone number: 909-878-2326
Mailing Address
FREDY JESUS DIAZ
1019 SIERRA AVE
BIG BEAR CITY, CA 92314-9779
Phone number: 909-521-5709