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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANA FONTANILLA

Active Sole Proprietor

DIANA FONTANILLA is a Assisted Living Facility healthcare provider located in SAN JOSE, California. NPI 1336684216 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · SAN JOSE, CA

Registration Details

NPI Number
1336684216
Provider Type
Individual
Gender
Female
NPI Issued
Dec 30, 2016 (9.6656766891903 yrs)
Last Updated
Dec 30, 2016
Sole Proprietor
Yes

Practice Information

Address
259 CHECKERS DR
SAN JOSE, CA, 951161348
Browse CA providers · Browse ZIP 95116
Phone
4087683287
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Providers in SAN JOSE, CA

Name Credential NPI
EVANGELINA JACY 1003365180
SYLVESTER OKORO 1396594065
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.