Individual
DIANE SUE BEWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, PHN
Contact information
Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-5742
(619) 692-5650
Mailing address
3013 LUNA AVE, SAN DIEGO, CA 92117-2515
(858) 270-5068
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
369400
CA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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