Individual
MISS CHITRA DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN AA
Contact information
Practice address
204 SYLVIA WAY, SAN RAFAEL, CA 94903-3144
(415) 444-5594
Mailing address
204 SYLVIA WAY, SAN RAFAEL, CA 94903-3144
(415) 444-5594
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN49259
CA
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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