Individual
DIANA CAPELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1479 SE GRAPELAND AVE, PORT ST LUCIE, FL 34952-4949
(772) 626-3326
Mailing address
1479 SE GRAPELAND AVE, PORT ST. LUCIE, FL 34952
(772) 626-3326
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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