Individual
DIANA JYOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, CLC
Contact information
Practice address
21603 84TH AVE W, EDMONDS, WA 98026-7818
(425) 431-7495
Mailing address
17024 68TH AVE W, EDMONDS, WA 98026-5204
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60925211
WA
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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