Individual
DIANA DRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
767 BARLEY PORT LN, FORT WALTON BEACH, FL 32547-5721
(850) 803-1987
Mailing address
767 BARLEY PORT LN, FORT WALTON BEACH, FL 32547-5721
(850) 803-1987
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
RN1175952
FL
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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