Individual
DIANE STRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3860 CALLE FORTUNADA, STE 200, SAN DIEGO, CA 92123-4800
(858) 636-4300
(858) 636-4319
Mailing address
3860 CALLE FORTUNADA, STE 200, SAN DIEGO, CA 92123-4800
(858) 636-4300
(858) 636-4319
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
8161
CA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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