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Individual

DENA NICOLE DIMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1144 SONOMA AVE, STE 119, SANTA ROSA, CA 95405-4812
(707) 544-3811
(707) 544-0128
Mailing address
1144 SONOMA AVE, STE 119, SANTA ROSA, CA 95405-4812
(707) 544-3811
(707) 544-0128

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95000810
CA

Other

Enumeration date
06/06/2014
Last updated
07/21/2022
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