Individual
DIANE MARIE SUMMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2086 COMMERCE AVE, CONCORD, CA 94520-4902
(510) 620-9091
(925) 827-1122
Mailing address
2086 COMMERCE AVE, CONCORD, CA 94520-4902
(510) 620-9091
(925) 827-1122
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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