Individual
DIANE JANTZ NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
811 6TH ST W, ROUNDUP, MT 59072-1703
(406) 853-2805
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
98626
MT
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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