Provider Demographics
NPI:1760503643
Name:SOLANO, DIANA
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:SOLANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 N B ST
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93638-3219
Mailing Address - Country:US
Mailing Address - Phone:559-661-5194
Mailing Address - Fax:559-661-5149
Practice Address - Street 1:126 N B ST
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93638-3219
Practice Address - Country:US
Practice Address - Phone:559-661-5194
Practice Address - Fax:559-661-5149
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor