Search › California › 164X00000X
Susana Jacinto Diaz
NPI 1851714521 · on the registry since 2014 · sole proprietor
Practice
- Address
- 812 Saint Francis Dr
Petaluma, CA 94954 - Phone
- (209) 631-3042
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-09
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