Individual
MS. DIANE LIBERTO DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
BOX 153, SAN DIEGO, CA 92136-5153
(619) 556-8475
Mailing address
PO BOX 182208, CORONADO, CA 92178-2208
(619) 556-8475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9671
CA
Other
Enumeration date
01/30/2006
Last updated
07/08/2007
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