Individual
MS. DIANE D NOGA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
220 4TH AVENUE, RATON, NM 87740
(505) 445-2754
(505) 445-2225
Mailing address
308 PENNSYLVANIA AVE, PO BOX 532, WALSENBURG, CO 81089
(719) 738-1477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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