Individual
DEANNA IRENE PUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
797 N ALMA SCHOOL RD STE B-2, CHANDLER, AZ 85224-3613
(253) 508-6049
Mailing address
797 N ALMA SCHOOL RD STE B-2, CHANDLER, AZ 85224-3613
(253) 508-6049
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA00022823
WA
174400000X
Specialist
Primary
MT-28283
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00022823
L.M.P.
WA
Enumeration date
11/12/2007
Last updated
07/14/2023
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