Individual
CAROL DIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
19950 RINALDI ST, PORTER RANCH, CA 91326-4141
(818) 496-7500
Mailing address
19950 RINALDI ST, PORTER RANCH, CA 91326-4141
(818) 496-7500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95016816
CA
Other
Enumeration date
03/01/2021
Last updated
05/10/2022
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