Individual
RUTH A DIMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4162 WESTHAVEN AVE, AYDEN, NC 28513-7090
(336) 214-8026
Mailing address
4162 WESTHAVEN AVE, AYDEN, NC 28513-7090
(336) 214-8026
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128137
NC
Other
Enumeration date
07/19/2019
Last updated
06/10/2020
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