DIANNE MITSUKO ITO

LOS ANGELES, CA
NPI1467778696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA  457020)
Enumeration Date2010-04-13
Last Update Date2010-04-13
Business Address
Ms. DIANNE MITSUKO ITO PNP
4650 SUNSET BOULEVARD MAILSTOP #81
LOS ANGELES, CA 90027-0980
Phone number: 323-361-3033
Mailing Address
Ms. DIANNE MITSUKO ITO PNP
PO BOX 3162
DANA POINT, CA 92629-8162
Phone number: 949-275-3265