Diane Lee Omiecinski

NPI #1235561192 in Ashtabula, Ohio

Provider Information

NPI Number: 1235561192
Entity Type: Individual
Name: Diane Lee Omiecinski
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse's Aide
Enumeration Date: Aug 2, 2013
Last Updated: Aug 2, 2013

Practice Location

Address: 3404 LAKE AVE APT 13
City: Ashtabula
State: Ohio
ZIP Code: 44004-5733
Phone: (440) 637-3798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse's Aide	376K00000X	Primary

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