Individual
DIANA MARIE MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1381 UNIVERSITY ST, HEALDSBURG, CA 95448-3314
(707) 431-8234
(707) 431-1427
Mailing address
1381 UNIVERSITY ST, HEALDSBURG, CA 95448-3314
(707) 431-8234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12122
CA
Other
Enumeration date
09/22/2005
Last updated
12/20/2011
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