DIANE PTACNIK

CORONA, CA
NPI1508965377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN118836)
Enumeration Date2006-09-21
Last Update Date2007-07-08
Business Address
-- DIANE PTACNIK LVN
999 BURR ST
CORONA, CA 92882-4018
Phone number: 951-737-8802
Mailing Address
-- DIANE PTACNIK LVN
1429 KELLOGG AVE
CORONA, CA 92879-2912
Phone number: 951-272-1444