Individual
DIANE CARLOS OMOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2208 BANKS DR, WOODLAND, CA 95776-5554
(707) 631-4864
Mailing address
2208 BANKS DR, WOODLAND, CA 95776-5554
(707) 631-4864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
708587
CA
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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