Individual
DIANE C INSALACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 3RD AVE, KINGSTON, PA 18704-5810
(570) 371-3572
Mailing address
500 3RD AVE, KINGSTON, PA 18704-5810
(570) 371-3572
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86075586
PA
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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