Individual
DIANE JARGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
462 W. DEGROAT ST., PRESTON, IA 52069
(563) 212-1996
Mailing address
462 W. DEGROAT ST. BOX 519, PRESTON, IA 52069
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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