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Individual

DIANA MARCELA EATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MEDICAL ASSISTANT

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15197-13
CA
376K00000X
Nurse's Aide
Primary
15197-13
CA

Other

Enumeration date
07/20/2018
Last updated
05/08/2026
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