Individual
KRISTINA DIAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
970 CHESTNUT AVE, DEPTFORD, NJ 08096-4712
(800) 950-6066
Mailing address
970 CHESTNUT AVE, DEPTFORD, NJ 08096-4712
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05578100
NJ
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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