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Individual

MRS. DIANNE LYNN MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
1628 BROADWAY ST, VALLEJO, CA 94590-2405
(707) 246-2783
Mailing address
1628 BROADWAY ST, VALLEJO, CA 94590-2405
(707) 246-2783

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
287609
CA

Other

Enumeration date
12/23/2020
Last updated
12/23/2020
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