Individual
DIANE GUMASING SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11825 MAGNOLIA BLVD APT 209, VALLEY VILLAGE, CA 91607-2877
(562) 334-6311
Mailing address
11825 MAGNOLIA BLVD APT 209, VALLEY VILLAGE, CA 91607-2877
(562) 334-6311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95177350
CA
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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