DEREK DIAZ

ONTARIO, CA
NPI1831811157
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95021897)
Enumeration Date2022-09-13
Last Update Date2022-09-13
Business Address
DEREK DIAZ NP
2821 S CASCADES TRL
ONTARIO, CA 91761-7234
Phone number: 909-732-0197
Mailing Address
DEREK DIAZ NP
2821 S CASCADES TRL
ONTARIO, CA 91761-7234
Phone number: 909-732-0197