Individual
DEANNA S DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CNOR, RNASC
Contact information
Practice address
85 SIERRA PARK ROAD, PO BOX 660, MAMMOTH LAKES, CA 93546
(760) 934-3311
(760) 934-7285
Mailing address
PO BOX 7993, MAMMOTH LAKES, CA 93546
(760) 914-2563
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
95051481
CA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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