Organization
CALMGLOW, INC
Active
Other names
Calmglow
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE MICHELLE HINTON NP (NURSE PRACTITIONER/OWNER)
(209) 247-9170
Entity
Organization
Contact information
Practice address
1120 13TH ST STE B, MODESTO, CA 95354-0950
(209) 247-9170
(209) 409-8192
Mailing address
1120 13TH ST STE B, MODESTO, CA 95354-0950
(209) 247-9170
(209) 409-8192
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4833
NP LICENSE NUMBER
CA
Enumeration date
11/05/2019
Last updated
11/05/2019
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