DIANE MARIE KENNEDY

TRACY, CA
NPI1972013597
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95006559)
Enumeration Date2017-10-10
Last Update Date2018-03-17
Business Address
DIANE MARIE KENNEDY NP
2185 W GRANT LINE RD
TRACY, CA 95377-7309
Phone number: 209-839-6231
Mailing Address
DIANE MARIE KENNEDY NP
2185 W GRANT LINE RD
TRACY, CA 95377-7309
Phone number: