Individual
DIANA WONG JOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2345 E EARLY AVE, REEDLEY, CA 93654-3274
(559) 393-7651
Mailing address
2345 E EARLY AVE, REEDLEY, CA 93654-3274
(559) 393-7651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95017379
CA
363LF0000X
Family Nurse Practitioner
F12200984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95017379
BRN NP LICENSE #
CA
Enumeration date
03/02/2021
Last updated
07/21/2021
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