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Diana Liz Fruzza
Student in an Organized Health Care Education/Training Program in San Clemente, California
NPI 1780331439

Diana Liz Fruzza is a Student in an Organized Health Care Education/Training Program based in San Clemente, CA. Diana Liz Fruzza practices in San Clemente, CA. The NPI Number for Diana Liz Fruzza is 1780331439 and holds a License No. 95020841 (California).

The current practice location address for Diana Liz Fruzza is 638 Camino De Los Mares, San Clemente, CA and can be reached out via phone at 949-487-9791.

Location: 638 Camino De Los Mares, San Clemente, CA, 92673-2848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780331439
Provider Name
Diana Liz Fruzza
Credential
Provider Entity Type
Individual
Gender
Female
Address
638 Camino De Los Mares, San Clemente, CA, 92673-2848
Phone Number
949-487-9791
Fax Number
Provider Enumeration Date
03/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
638 Camino De Los Mares
City
San Clemente
State
California
Zip
92673-2848
Phone Number
949-487-9791
Fax Number
person
Provider Business Mailing Address Details
Address
638 Camino De Los Mares
City
San Clemente
State
California
Zip
92673-2848
Phone Number
949-487-9791
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
95020841 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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