Individual
DIANNA LEAH COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., F.N.P.
Contact information
Practice address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-6391
(916) 973-5981
Mailing address
4500 RIGEL CT, SHINGLE SPRINGS, CA 95682-5011
(530) 676-7481
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213917
CA
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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