Individual
MS. DIANA L WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1 GAULT RD, UNIT 12, WEST WAREHAM, MA 02576-1230
(508) 295-3282
Mailing address
1 GAULT RD, UNIT 12, WEST WAREHAM, MA 02576-1230
(508) 295-3282
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
283514
MA
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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