Individual
MRS. DIANE L SUITOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10877 CONDUCTOR BLVD, SUTTER CREEK, CA 95685-9687
(209) 223-6412
Mailing address
10877 CONDUCTOR BLVD, SUTTER CREEK, CA 95685-9687
(209) 223-6412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
404573
CA
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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