Individual
MS. DIANE MARIE KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IP
Contact information
Practice address
880 NORTHCREST DR, CRESCENT CITY, CA 95531-2313
(707) 464-3191
(707) 465-6701
Mailing address
880 NORTHCREST DR, CRESCENT CITY, CA 95531-2313
(707) 464-3191
(707) 465-6701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
868952
CA
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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