Individual
MRS. DIANE LYNN WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1133 COLOMA WAY STE C, ROSEVILLE, CA 95661-4480
(916) 774-6647
(916) 744-6456
Mailing address
1133 COLOMA WAY STE C, ROSEVILLE, CA 95661-4480
(916) 774-6647
(916) 744-6456
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
173799
CA
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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