HOLLY DIANE FYDA

EASTVALE, CA
NPI1750844304
Former NameHOLLY DIANE GANNON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  NP95011339)
Enumeration Date2019-04-10
Last Update Date2019-04-10
Business Address
Mrs. HOLLY DIANE FYDA NP
2159 CASTLE ROCK CIR
EASTVALE, CA 92880-5465
Phone number: 951-285-5571
Mailing Address
Mrs. HOLLY DIANE FYDA NP
2159 CASTLE ROCK CIR
EASTVALE, CA 92880-5465
Phone number: 951-285-5571