Individual
MRS. CELIA DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(940) 781-0870
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(940) 781-0870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
710988
TX
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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