Individual
DONNA MAE DINEYAZHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
Mailing address
13 COUNTY ROAD 6323, KIRTLAND, NM 87417-9600
(505) 860-6371
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
731
NM
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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