Provider Information for 1891856647
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Dr. DIANA SIMMS VINES psy.d
Sex: Female
NPI: 1891856647
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1891856647 | ||||||||
| Enumeration Date | 2006-12-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1881 CAMINITO VELEZ LA JOLLA, CA 92037-5726 United States Phone: 858-459-8248 | Fax: | ||||||||
| Primary Practice Address | 1881 CAMINITO VELEZ LA JOLLA, CA 92037-5726 United States Phone: 858-459-8248 | Fax: | ||||||||
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