ANTHONY DIAZ

BLOOMINGTON, CA
NPI1942846183
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-11-22
Last Update Date2019-11-22
Business Address
ANTHONY DIAZ
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120
Mailing Address
ANTHONY DIAZ
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120
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