Individual
DIANE A COLBURN
Active
Individual
DIANE A COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR/CDN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
004758-1
NY
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
Update your record
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