DIANE WAGMAN

INDIO, CA
NPI1164964037
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  6826)
Enumeration Date2016-11-09
Last Update Date2016-11-09
Business Address
DIANE WAGMAN
81268 AVENIDA TRES LAGUNAS
INDIO, CA 92203-7546
Phone number: 818-970-4913
Mailing Address
DIANE WAGMAN
81268 AVENIDA TRES LAGUNAS
INDIO, CA 92203-7546
Phone number: