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1710424791
VIVIAN ROSE DIAZ
FRESNO, CA
NPI
1710424791
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Former Name
VIVIAN ROSE MENA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-01-27
Last Update Date
2023-12-11
Business Address
VIVIAN ROSE DIAZ CAS I
1553 SANTA CLARA ST
FRESNO, CA 93706-3447
Phone number: 559-538-1230
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Mailing Address
VIVIAN ROSE DIAZ CAS I
3520 E SHIELDS AVE STE 102
FRESNO, CA 93726-6923
Phone number: 559-538-1230
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