Individual
DIONNE DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 KENTUCKY AVE, BALTIMORE, MD 21213-1930
(443) 983-1476
Mailing address
3415 KENTUCKY AVE, BALTIMORE, MD 21213-1930
(443) 983-1476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
759223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
795223
RN LICENSURE ID.#
NY
01
—
795223
RN LICENSURE
—
Enumeration date
08/02/2020
Last updated
08/02/2020
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