Individual
DIANE GRACE DICENSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1350 EAST MARKET ST, TRUMBULL MEMORIAL HOSPITAL, WARREN, OH 44484
(330) 841-9011
Mailing address
3622 BELMONT AVE, SUITE 1, YOUNGSTOWN, OH 44505-1450
(330) 759-9350
(330) 759-9387
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
078085
OH
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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