Individual
MS. DIANA ANDREA JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7600 GRAVES AVE, ROSEMEAD, CA 91770-3414
(626) 280-6510
Mailing address
7600 GRAVES AVE, ROSEMEAD, CA 91770-3414
(626) 280-6510
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN229787
CA
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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