DANIEL RAUL DIAZ

SAN BERNARDINO, CA
NPI1700465507
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  10956)
Enumeration Date2021-04-07
Last Update Date2023-09-28
Business Address
DANIEL RAUL DIAZ
820 E GILBERT ST
SAN BERNARDINO, CA 92415-2316
Phone number: 909-386-8510
Mailing Address
DANIEL RAUL DIAZ
820 E GILBERT ST
SAN BERNARDINO, CA 92415-0928
Phone number: 909-387-7757
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