Diana Lizbeth San Juan, QMHA
Case Manager/Care Coordinator in Salem, OR. Individual provider (NPI-1).
NPI number1487964656
StatusActive
Last updated in NPPESOct 20, 2010
Details
- NPI
- 1487964656
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Diana Lizbeth San Juan
- Credential
- QMHA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2010
- Last updated
- Oct 20, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2421 Lancaster Dr NeSalem, OR 97305-1220
Phone 503-361-2720 · Fax 503-585-4990
Mailing address
189 E Elm CtGervais, OR 97026-9780
Phone 971-218-0951
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