Evelyn Joan Diccianni III
Case Manager/Care Coordinator in San Diego, CA. Individual provider (NPI-1).
NPI number1154535680
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154535680
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Evelyn Joan Diccianni III
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
3020 Childrens WayMc 6013
San Diego, CA 92123-4223
Phone 619-576-1700 · Fax 619-420-5531
Mailing address
6746 Boulder Lake AveSan Diego, CA 92119-1903
Phone 619-644-5706
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