Individual
DIANA AZELTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1617 BROADWAY ST, VALLEJO, CA 94590-2406
(707) 556-3855
Mailing address
2078 MARAZZANI DR, MARTINEZ, CA 94553-4378
(707) 495-4703
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
639229
CA
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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