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1669907234
DIANA AHUMADA
FAIRFIELD, CA
NPI
1669907234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-20
Last Update Date
2017-04-20
Business Address
-- DIANA AHUMADA
1735 ENTERPRISE DR BUILDING 1 SUITE 105 A
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
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Mailing Address
-- DIANA AHUMADA
1735 ENTERPRISE DR BUILDING 1 SUITE 105 A
FAIRFIELD, CA 94533-6822
Phone number:
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