JUAN CARLOS DIAZ

RIVERSIDE, CA
NPI1770269912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  63493)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-06-22
Last Update Date2023-12-07
Business Address
JUAN CARLOS DIAZ
8432 MAGNOLIA AVE
RIVERSIDE, CA 92504-3206
Phone number: 951-552-8344
Mailing Address
JUAN CARLOS DIAZ
6591 CHERIMOYA AVE
FONTANA, CA 92336-1310
Phone number: 909-827-3061