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Individual

MS. DIANE CORINNE PUTNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2550 23RD ST BLDG 92ND, SAN FRANCISCO, CA 94110-3504
(415) 206-8812
(415) 647-3733
Mailing address
133 OAK KNOLL AVE, SAN ANSELMO, CA 94960-1850
(415) 455-9501

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
278435
CA

Other

Enumeration date
01/28/2007
Last updated
02/06/2014
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