Provider Demographics
NPI:1457451569
Name:GEE, DIANNE C (CPNP)
Entity Type:Individual
Prefix:MS
First Name:DIANNE
Middle Name:C
Last Name:GEE
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:901 CAMPUS DRIVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-4930
Mailing Address - Country:US
Mailing Address - Phone:415-242-5433
Mailing Address - Fax:415-242-8904
Practice Address - Street 1:901 CAMPUS DRIVE
Practice Address - Street 2:SUITE 207
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-4930
Practice Address - Country:US
Practice Address - Phone:415-242-5433
Practice Address - Fax:415-242-8904
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANPF5028173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANPF5028OtherLICENSE