Diane Edgemon, LE, CPE Valid NPI
Individual provider · Point of Service · Livermore, CA
- NPI
- 1043748544
- Type
- Individual (Type 1)
- Primary specialty
- Point of Service
- Specialty group
- Managed Care Organizations
- Taxonomy code
- 305S00000X
- License number
- L7180 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2017-05-28
- Last updated
- 2017-05-28
Practice location
60 Fenton St Ste 11
Livermore, CA 94550-4148
(925) 337-3522