Individual
CARRIE DENISE DIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
374 CARROLL PARK E, APT 8, LONG BEACH, CA 90814-2275
(562) 715-9419
Mailing address
374 CARROLL PARK E, APT 8, LONG BEACH, CA 90814-2275
(562) 715-9419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP 95005282
CA
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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