DIANE D AVERY

EL PASO, TX
NPI1689667727
Former NameDIANE R PORTWOOD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  426206)
Enumeration Date2005-08-24
Last Update Date2007-07-08
Business Address
-- DIANE D AVERY CRNA
2415 E YANDELL DR STE B
EL PASO, TX 79903-3616
Phone number: 915-577-0030
Mailing Address
-- DIANE D AVERY CRNA
PO BOX 3899
EL PASO, TX 79923-3899
Phone number: 915-577-0030
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