Individual
DIANE NOEL DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
RR 1 BOX 67, HARLEM, MT 59526-9705
(406) 353-3100
Mailing address
RR 1 BOX 67, HARLEM, MT 59526-9705
(406) 353-3100
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
1070
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070
LICENSE
MT
Enumeration date
07/23/2008
Last updated
07/24/2008
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