Individual
DIANA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1611 NW 12TH AVE STE 6006, MIAMI, FL 33136-1005
(305) 585-4310
Mailing address
1611 NW 12TH AVE STE 6006, MIAMI, FL 33136-1005
(305) 585-4310
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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