DIANA MARIZA REVELES

CHULA VISTA, CA
NPI1548455405
Former NameDIANA MARIZA MCMAHAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA19306)
Enumeration Date2007-09-12
Last Update Date2018-03-17
Business Address
DIANA MARIZA REVELES PA
352 L ST
CHULA VISTA, CA 91911-1208
Phone number: 619-515-2325
Mailing Address
DIANA MARIZA REVELES PA
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
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