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Diane Disandro, IBCLC
Specialist in Audubon, Pennsylvania
NPI 1770792749

Diane Disandro is a Specialist based in Audubon, PA. Diane Disandro practices in Audubon, PA and has the professional credentials of IBCLC. The NPI Number for Diane Disandro is 1770792749 and holds a License No. (Pennsylvania).

The current practice location address for Diane Disandro is 688 Sunnyside Ave, Audubon, PA and can be reached out via phone at 610-539-4476 and via fax at 610-539-6308.

Location: 688 Sunnyside Ave, Audubon, PA, 19403-1739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770792749
Provider Name
Diane Disandro
Credential
IBCLC
Provider Entity Type
Individual
Gender
Female
Address
688 Sunnyside Ave, Audubon, PA, 19403-1739
Phone Number
610-539-4476
Fax Number
610-539-6308
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
688 Sunnyside Ave
City
Audubon
State
Pennsylvania
Zip
19403-1739
Phone Number
610-539-4476
Fax Number
610-539-6308
person
Provider Business Mailing Address Details
Address
688 Sunnyside Ave
City
Audubon
State
Pennsylvania
Zip
19403-1739
Phone Number
610-539-4476
Fax Number
610-539-6308
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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