Individual
DIANA BASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1915 E REZANOF DR, KODIAK, AK 99615-6602
(907) 486-3281
Mailing address
1915 E REZANOF DR, KODIAK, AK 99615-6602
(907) 486-3281
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28503
AK
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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