JACOB DANIEL DIAZ

RIVERSIDE, CA
NPI1306733365
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA  2000052865)
Enumeration Date2025-06-23
Last Update Date2025-06-23
Business Address
JACOB DANIEL DIAZ ATC
11666 INWOOD DR
RIVERSIDE, CA 92503-5057
Phone number: 951-727-6249
Mailing Address
JACOB DANIEL DIAZ ATC
11666 INWOOD DR
RIVERSIDE, CA 92503-5057
Phone number: 951-727-6249