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Individual

MS. DIANE MOSKOWITZ KEANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, ACHPN

Contact information

Practice address
3 HARBOR DR, SUITE 115, SAUSALITO, CA 94965-1454
(415) 380-0480
Mailing address
1050 NORTHGATE DR, STE 410, SAN RAFAEL, CA 94903-2584
(415) 380-0480

Taxonomy

Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
370895
CA
364S00000X
Clinical Nurse Specialist
Primary
3017
CA

Other

Enumeration date
02/06/2009
Last updated
11/19/2018
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