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Dianna Childers, LPN

Licensed Practical Nurse in Cumberland, MD. Individual provider (NPI-1).

NPI number1780124735
StatusActive
Last updated in NPPESFeb 24, 2017

Details

NPI
1780124735
Entity type
Individual (NPI-1)
Name
Dianna Childers
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Feb 24, 2017
Last updated
Feb 24, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLP30189MDYes

Practice location

10102 Country Club Rd Se
Cumberland, MD 21502-8339

Phone 301-777-2290 · Fax 301-777-2160

Mailing address

10102 Country Club Rd Se
Cumberland, MD 21502-8339

Phone 301-777-2290 · Fax 301-777-2160

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