NPI 1043748544

Diane Edgemon, LECPE

Practitioner Point of Service Livermore, CA

Practice location

Address: 60 Fenton St STE 11, Livermore, CA 94550-4148
Phone: (925) 337-3522

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence L7180 (CA)

Other Point of Service providers in California →

Registry record

NPI: 1043748544
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 May 2017
Record last updated: 28 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.