Individual
MS. DIANE ELIZABETH HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C, ED.D.
Contact information
Practice address
40 W GUDE DR STE 120, ROCKVILLE, MD 20850-1191
(301) 309-6765
(301) 309-2230
Mailing address
40 W GUDE DR STE 120, ROCKVILLE, MD 20850-1191
(301) 309-6765
(301) 309-2230
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C01417
MD
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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