Most Relevant Information
Provider Data
| NPI Number: | 1003200833 |
| Provider Name: | CHERRYL DIOM |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | 795013 |
Most Important Dates
| Enumeration Date: | 03/18/2015 |
| Last Updated: | 03/18/2015 |
Provider Practice Location
9808 VENICE BLVD
STE. 505
CULVER CITY
CA
902322732
Practice Location Phone/Fax
| Phone: | 3109453350 |
| Fax: | 3109453356 |
Provider Mailing Location
9808 VENICE BLVD
STE. 505
CULVER CITY
CA
902322732
Provider Mailing Phone/Fax
| Phone: | 3109453350 |
| Fax: | 3109453356 |