Individual
DIANE ELAINE DOOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(714) 924-0607
Mailing address
4441 PINTO RD, KINGMAN, AZ 86401-7229
(714) 924-0607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95232203
CA
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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