MRS. Michele Rene Diaz

NPI #1275836181 in Banning, California

Provider Information

NPI Number: 1275836181
Entity Type: Individual
Name: MRS. Michele Rene Diaz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 15, 2010
Last Updated: Dec 15, 2010

Practice Location

Address: 1330 W RAMSEY ST STE 100
City: Banning
State: California
ZIP Code: 92220-4477
Phone: (951) 849-7142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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