GARY DIAZ

SAN BERNARDINO, CA
NPI1700200730
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  360004BV)
Enumeration Date2014-02-11
Last Update Date2014-02-11
Business Address
GARY DIAZ
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-884-0840
Mailing Address
GARY DIAZ
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-884-0840