Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A41225 | CA |
NPI | 1033389903 |
---|---|
Provider Name | Dr. Diana Jean Hylton |
First Address | Merced, CA 95348 |
Second Address | Merced, CA 95348 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2008 |
Last Update Date | 07/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A49332 | (02) | CA |