JAKE DIAZ

SOUTH LAKE TAHOE, CA
NPI1629583802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2017-12-09
Last Update Date2017-12-09
Business Address
JAKE DIAZ
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number: 530-573-7970
Mailing Address
JAKE DIAZ
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number: 530-573-7970
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