Individual
DAWN CAPRI DINEYAZHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
(505) 722-1226
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2852
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00184730
—
NM
05
—
806002
—
AZ
Enumeration date
03/10/2006
Last updated
04/18/2008
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