Individual
DIANA L. DALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1020 TRUMP RD, CARROLLTON, OH 44615
(330) 627-7055
(330) 627-7602
Mailing address
1020 TRUMP RD, P.O. BOX 38, CARROLLTON, OH 44615
(330) 627-7055
(330) 627-7602
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
188084
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2468155
—
OH
Enumeration date
08/09/2006
Last updated
02/13/2011
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