Provider Demographics
NPI:1366615338
Name:DIORIO, VALERIE A
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:A
Last Name:DIORIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-5658
Mailing Address - Country:US
Mailing Address - Phone:330-502-9121
Mailing Address - Fax:
Practice Address - Street 1:200 E CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-5658
Practice Address - Country:US
Practice Address - Phone:330-502-9121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4875133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered