Individual
DIANE YACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 294-2674
(732) 761-8084
Mailing address
2 NAVAJO RD, MANALAPAN, NJ 07726-4617
(732) 446-6358
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN07015600
NJ
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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