Individual
DIANN MARY DACIERNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
305 MARCELLA RD, HAMPTON, VA 23666-2433
(757) 825-0455
Mailing address
305 MARCELLA RD, HAMPTON, VA 23666-2433
(757) 825-0455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0119001738
VA
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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