Individual
DIANA AITON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
643 CHALAN SAN ANTONIO, TAMUNING, GU 96913-3644
(671) 735-8000
Mailing address
PO BOX 11843, TAMUNING, GU 96931-1843
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LE0236
GU
164W00000X
Licensed Practical Nurse
LP047322
AZ
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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