DIANE M SAMELAK

WINSTON SALEM, NC
NPI1801872973
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NC  300150)
Enumeration Date2005-12-20
Last Update Date2007-12-27
Business Address
-- DIANE M SAMELAK NP
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
Mailing Address
-- DIANE M SAMELAK NP
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255