Individual
MS. DIANE TERESA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., R.N.
Contact information
Practice address
13927 MAIN ST., WALNUT GROVE, CA 95690
(916) 776-2391
Mailing address
PO BOX 1113, WALNUT GROVE, CA 95690-1113
(916) 776-2391
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
208575
CA
171100000X
Acupuncturist
9510
CA
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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