Most Relevant Information
Provider Data
| NPI Number: | 1003358201 |
| Provider Name: | DIANA CARRERA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/06/2016 |
| Last Updated: | 11/06/2016 |
Provider Practice Location
8926 WOODYARD RD
SUITE 501
CLINTON
MD
207354220
Practice Location Phone/Fax
| Phone: | 8555460861 |
| Fax: |
Provider Mailing Location
20410 CENTURY BLVD
SUITE 215
GERMANTOWN
MD
208741186
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |