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DIANA NICHOLS COULSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-3910
(626) 405-6768
Mailing address
393 E WALNUT ST, 3RD FLOOR - PHR SYSTEMS, PASADENA, CA 91188-0001
(626) 405-7914
(626) 405-6768

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A97361
CA

Other

Enumeration date
07/03/2007
Last updated
12/03/2021
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