Individual
DIANA E ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7425 RANCHO LOS GUILICOS RD, DEPT A, SANTA ROSA, CA 95409-6519
(707) 537-6387
Mailing address
7425 RANCHO LOS GUILICOS RD, DEPT A, SANTA ROSA, CA 95409-6519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN522800
CA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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