Search › Virginia › 163WC0400X
Diane Mantos, RN, BSN, CCM
NPI 1811656911 · on the registry since 2021
Practice
- Address
- 12150 Monument Dr
Fairfax, VA 22033 - Phone
- (757) 270-2452
- Fax
- (770) 723-8586
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 163WC0400X
163WC0400X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia