Diane Desser Walata, LPN
NPI #1447554738 in Lindenhurst, New York
Provider Information
- NPI Number
- 1447554738
- Entity Type
- Individual
- Name
- Diane Desser Walata, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Dec 31, 2010
- Last Updated
- Dec 31, 2010
Practice Location
- Address
- 396 N WELLWOOD AVE
- City
- Lindenhurst
- State
- New York
- ZIP Code
- 11757-3343
- Phone
- (631) 943-7627
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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