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1851714521
SUSANA JACINTO DIAZ
PETALUMA, CA
NPI
1851714521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 275554)
Enumeration Date
2014-01-30
Last Update Date
2024-07-09
Business Address
SUSANA JACINTO DIAZ
812 SAINT FRANCIS DR
PETALUMA, CA 94954-4320
Phone number: 209-631-3042
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Mailing Address
SUSANA JACINTO DIAZ
812 SAINT FRANCIS DR
PETALUMA, CA 94954-4320
Phone number: 209-631-3042
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