Individual
MS. DIANE ELIZABETH BAJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
4001 J ST, SACRAMENTO, CA 95819-3626
(916) 453-4414
Mailing address
925 BEVINS CT, LAKEPORT, CA 95453-9754
(707) 301-5840
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18612
CA
Other
Enumeration date
11/26/2008
Last updated
05/17/2016
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