Individual
MRS. DIANA LEA READ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4TH STREET AND INNER LOOP, FORT IRWIN, CA 92310
(000) 000-0000
Mailing address
8718 ANZIO ST, FORT IRWIN, CA 92310-2415
(760) 386-9373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
647510
CA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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