Individual
DIANE DISANDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
688 SUNNYSIDE AVE, AUDUBON, PA 19403-1739
(610) 539-4476
(610) 539-6308
Mailing address
688 SUNNYSIDE AVE, AUDUBON, PA 19403-1739
(610) 539-4476
(610) 539-6308
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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