Azeltine, Diana

Azeltine, Diana is an individual health care provider with primary practice located at 1617 Broadway St , Vallejo CA 94590-2406. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Azeltine, Diana can be contacted via phone (707) 556-3855.

Contact Information

Primary practice address
1617 Broadway St Vallejo CA 94590-2406
Phone: (707) 556-3855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 639229 California

Profile Details

NPI number 1730567413
LBN Legal business name Azeltine, Diana
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2015
Last updated May 13th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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