Most Relevant Information
Provider Data
| NPI Number: | 1003423427 |
| Provider Name: | REBECA DIAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/29/2020 |
| Last Updated: | 05/22/2023 |
Provider Practice Location
7690 EAST ROAD
REDWOOD VALLEY
CA
95470
Practice Location Phone/Fax
| Phone: | 7074672010 |
| Fax: |
Provider Mailing Location
PO BOX 2077
UKIAH
CA
954822077
Provider Mailing Phone/Fax
| Phone: | 7074672010 |
| Fax: |