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Individual

DIANE LEADBETTER DELLAERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
525 VINE ST STE 230, WINSTON SALEM, NC 27101-4158
(336) 716-1411
Mailing address
525 VINE ST STE 230, WINSTON SALEM, NC 27101-4158

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7293
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/24/2023
Last updated
11/17/2023
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