Individual
DIANA L AGPAOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MNE, ONC
Contact information
Practice address
4100 W 3RD ST, NURSING SUPERVISOR, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
4111 CAMBRIDGE TRL, BEAVERCREEK, OH 45430-2309
(937) 320-8081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 211549
OH
163WM0705X
Medical-Surgical Registered Nurse
RN-41532
HI
Other
Enumeration date
12/09/2005
Last updated
07/31/2007
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