Individual
MRS. DIANE PALACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN,RN
Contact information
Practice address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-1008
Mailing address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-1008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
523022
CA
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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