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Dianne Longo

NPI 1720403553 · on the registry since 2014

Practice

Address
1319 Evergreen Ave
Apt N2
Fullerton, CA 92835
Phone
(714) 697-8359

Registry record

Primary taxonomy
207QS0010X
207QS0010X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California