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Adetokunbo Diane Disu
Psychiatric/Mental Health Registered Nurse in Fresno, California
NPI 1972856557

Adetokunbo Diane Disu is a Psychiatric/Mental Health Registered Nurse based in Madera, CA and is specialized in Psychiatric/Mental Health. Adetokunbo Diane Disu practices in Fresno, CA. The NPI Number for Adetokunbo Diane Disu is 1972856557 and holds a License No. 95396890 (California).

The current practice location address for Adetokunbo Diane Disu is 4411 E Cesar Chavez Blvd, Fresno, CA and can be reached out via phone at 559-453-1008.

Location: 4411 E Cesar Chavez Blvd, Fresno, CA, 93637-8960
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972856557
Provider Name
Adetokunbo Diane Disu
Credential
Provider Entity Type
Individual
Gender
Female
Address
4411 E Cesar Chavez Blvd, Fresno, CA, 93637-8960
Phone Number
559-453-1008
Fax Number
Provider Enumeration Date
10/19/2012
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
4411 E Cesar Chavez Blvd
City
Fresno
State
California
Zip
93702-3604
Phone Number
559-453-1008
Fax Number
person
Provider Business Mailing Address Details
Address
4411 E Cesar Chavez Blvd
City
Fresno
State
California
Zip
93702-3604
Phone Number
559-453-1008
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
95396890 (California)
Definition
Definition to come...
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