Healthcare Provider Details

I. General information

NPI: 1689111593
Provider Name (Legal Business Name): DIANE ELIZABETH AURAND HOOKS CMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DIANE ELIZABETH THOMAS CMA

II. Dates (important events)

Enumeration Date: 01/30/2017
Last Update Date: 01/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2329 4TH AVE
SEATTLE WA
98121-1717
US

IV. Provider business mailing address

2329 4TH AVE
SEATTLE WA
98121-1717
US

V. Phone/Fax

Practice location:
  • Phone: 120-646-1364
  • Fax:
Mailing address:
  • Phone: 120-646-1364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: