Individual
MARY JANE DIOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP, CNM
Contact information
Practice address
350 30TH ST, SUITE 205, OAKLAND, CA 94609-3424
(510) 271-5339
Mailing address
350 30TH ST, SUITE 205, OAKLAND, CA 94609-3424
(510) 271-5339
Taxonomy
Speciality
Code
Description
License number
State
163WP1700X
Perinatal Registered Nurse
RN320362
CA
363L00000X
Nurse Practitioner
NP 5855
CA
367A00000X
Advanced Practice Midwife
Primary
CNM1359
CA
Other
Enumeration date
09/29/2006
Last updated
12/30/2021
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