Individual
DIANNA MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(432) 284-1525
Mailing address
246 NW PAINT RD, CACHE, OK 73527-3801
(432) 284-1525
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
R0111167
OK
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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