Most Relevant Information
Provider Data
| NPI Number: | 1003230897 |
| Provider Name: | MARY STEPHANIA DIAMOND R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 647777 |
Most Important Dates
| Enumeration Date: | 02/13/2014 |
| Last Updated: | 02/13/2014 |
Provider Practice Location
351 HARTNELL AVE
REDDING
CA
960021845
Practice Location Phone/Fax
| Phone: | 5302477910 |
| Fax: | 5302290024 |
Provider Mailing Location
351 HARTNELL AVE
REDDING
CA
960021845
Provider Mailing Phone/Fax
| Phone: | 5302477910 |
| Fax: | 5302290024 |