Provider Demographics
NPI:1942011416
Name:LAW, DIANNA GARDNER
Entity type:Individual
Prefix:
First Name:DIANNA
Middle Name:GARDNER
Last Name:LAW
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 1:4243 W WREN AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-8188
Mailing Address - Country:US
Mailing Address - Phone:559-679-4254
Mailing Address - Fax:
Practice Address - Street 1:4243 W WREN AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-8188
Practice Address - Country:US
Practice Address - Phone:559-679-4254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider