MS. Dianna Mccullough

NPI #1174780845 in Wimauma, Florida

Provider Information

NPI Number: 1174780845
Entity Type: Individual
Name: MS. Dianna Mccullough
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: May 20, 2008
Last Updated: May 20, 2008

Practice Location

Address: 14435 COUNTY ROAD 672
City: Wimauma
State: Florida
ZIP Code: 33598-6116
Phone: (813) 642-9726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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