Individual
KATHRYN DIMAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
597 CENTER AVE STE 110, MARTINEZ, CA 94553-4669
(925) 658-0542
Mailing address
597 CENTER AVE STE 110, MARTINEZ, CA 94553-4669
(925) 658-0542
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
769435
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
769435
RN LICENSE NUMBER
CA
Enumeration date
02/08/2016
Last updated
02/08/2016
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