Provider Demographics
NPI:1306025911
Name:HUNTER, DIANA GOLDEN (LAC MDIV)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:GOLDEN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LAC MDIV
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:LOUIS
Other - Last Name:ORZALLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MDIV
Mailing Address - Street 1:PO BOX 315
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22040-0315
Mailing Address - Country:US
Mailing Address - Phone:703-319-9151
Mailing Address - Fax:
Practice Address - Street 1:2564 GLENGYLE DR
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22181-5512
Practice Address - Country:US
Practice Address - Phone:703-319-9151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000235171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist