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Individual
DR. DIANNA PHAN
Active
Individual
DR. DIANNA PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001995
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1027672
ASHN
VA
01
—
3908975
AETNA
VA
01
—
461747
TRIGON
VA
01
—
7046200
AETNA
VA
01
—
G380-0001
CAREFIRST
VA
Enumeration date
06/12/2007
Last updated
07/08/2007
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