NATHANIEL CUSTODIO DIWA

RIALTO, CA
NPI1487570016
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95040283)
Enumeration Date2026-06-27
Last Update Date2026-06-27
Business Address
NATHANIEL CUSTODIO DIWA
2779 LINDE VISTA DR
RIALTO, CA 92377-3417
Phone number: 702-205-0073
Mailing Address
NATHANIEL CUSTODIO DIWA
2779 LINDE VISTA DR
RIALTO, CA 92377-3417
Phone number:
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