Terilynn Alisa Diggs
Technician, Other in San Leandro, CA. Individual provider (NPI-1).
NPI number1386246957
StatusActive
Last updated in NPPESNov 9, 2020
Details
- NPI
- 1386246957
- Entity type
- Individual (NPI-1)
- Name
- Terilynn Alisa Diggs
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2020
- Certification date
- Nov 9, 2020
- Last updated
- Nov 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
1880 Fairway DrSan Leandro, CA 94577-5629
Phone 916-729-3098
Mailing address
1880 Fairway DrSan Leandro, CA 94577-5629
Phone 916-729-3098
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