TRAVIS MICHAEL DIAZ

TEMECULA, CA
NPI1699273235
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2018-01-29
Last Update Date2018-01-29
Business Address
TRAVIS MICHAEL DIAZ
42501 RIVERA DR
TEMECULA, CA 92592-4416
Phone number: 951-326-5648
Mailing Address
TRAVIS MICHAEL DIAZ
42501 RIVERA DR
TEMECULA, CA 92592-4416
Phone number: