Individual
MRS. DEANNE ELISE NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPAS, PA-C, CN
Contact information
Practice address
1831 ORANGE AVE STE C, COSTA MESA, CA 92627-2839
(949) 574-5800
Mailing address
617 SOUTH BROADWAY, APT 5, REDONDO BEACH, CA 90277
(310) 540-9900
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
001135
CA
363A00000X
Physician Assistant
Primary
PA 14830
CA
Other
Enumeration date
03/11/2008
Last updated
08/19/2019
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