Search › California › 363LF0000X
Dianne Camille Mallari-Requillo, NP
NPI 1306793047 · on the registry since 2026 · sole proprietor
Practice
- Address
- 6105 Waddington Way
Roseville, CA 95747 - Phone
- (510) 512-8275
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California