Individual
DIANA LYNNE COLASSESANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
166 THOMPSON DR, BRIDGEPORT, WV 26330-1644
(304) 842-6001
(304) 842-6111
Mailing address
166 THOMPSON DR, BRIDGEPORT, WV 26330-1644
(304) 842-6001
(304) 842-6111
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
Primary
61413
WV
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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