LEELAN DIANE BANTA

GRAND JUNCTION, CO
NPI1548541535
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC1500X Registered Nurse Community Health
(Licence: CO  45560)
Enumeration Date2011-09-02
Last Update Date2011-09-02
Business Address
LEELAN DIANE BANTA RN
510 29 1/2 RD
GRAND JUNCTION, CO 81504-5383
Phone number: 970-248-6924
Mailing Address
LEELAN DIANE BANTA RN
510 29 1/2 RD
GRAND JUNCTION, CO 81504-5383
Phone number: 970-248-6924