Individual
DIANE CHRISTI GO CABALAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
16349 SYLVANWOOD AVE, NORWALK, CA 90650-6939
(818) 217-7673
Mailing address
16349 SYLVANWOOD AVE, NORWALK, CA 90650-6939
(818) 217-7673
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
742728
CA
163WG0000X
General Practice Registered Nurse
742728
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742728
BOARD OF REGISTERED NURSING
CA
Enumeration date
01/23/2018
Last updated
01/24/2018
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