Individual
DIANE LINDSEY BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
# 155 9000 CROW CANYON, DANVILLE, CA 94506
(510) 301-5574
Mailing address
# 155 9000 CROW CANYON, DANVILLE, CA 94506
(510) 301-5574
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
514526
CA
163WC0400X
Case Management Registered Nurse
RN100179
AZ
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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