Reveles, Diana Mariza

Reveles, Diana Mariza is an individual health care provider with primary practice located at 352 L St , Chula Vista CA 91911-1208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Reveles, Diana Mariza can be contacted via phone (619) 515-2325.

Contact Information

Primary practice address
352 L St Chula Vista CA 91911-1208
Phone: (619) 515-2325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA19306 California

Profile Details

NPI number 1548455405
LBN Legal business name Reveles, Diana Mariza
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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