| Doctor Name: | DIANE M CHOMA |
| NPI Number: | 1306184809 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 223848 |
| Business Practice Address: | 113 W Sycamore St Zebulon, NC - 275972635 |
| Business Phone Number: | 9194141340 |
| Business Fax Number: | |
| Mailing Address: | 113 W Sycamore St, ZEBULON |
| State: | NC |
| Postal Code: | 275972635 |
| Phone Number: | 9194141340 |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2013 |
| NPI Last Update Date: | 01/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 223848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |