Individual
MS. DIANE MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2591 FULTON SQUARE LN APT 82, SACRAMENTO, CA 95821-2384
(916) 875-6212
(916) 875-0851
Mailing address
2591 FULTON SQUARE LN APT 82, 7171 BOWLING DR SUITE 700, SACRAMENTO, CA 95821-2384
(916) 875-6212
(916) 875-0851
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
365953
CA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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