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Individual

MS. DIANE THERESE FERNANDEZ LAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21000 PLUMMER ST, CHATSWORTH, CA 91311-4903
(818) 882-6400
Mailing address
8834 BURNET AVE UNIT 11, NORTH HILLS, CA 91343-5483
(818) 441-1703

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN741704
CA

Other

Enumeration date
06/26/2024
Last updated
06/28/2024
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