LISA DINENNO

FARMINGTON, NM
NPI1588957179
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NM  CNP-01747)
Enumeration Date2011-05-16
Last Update Date2011-07-29
Business Address
-- LISA DINENNO CNP
1001 W BROADWAY STE D
FARMINGTON, NM 87401-5638
Phone number: 505-325-0238
Mailing Address
-- LISA DINENNO CNP
1001 W BROADWAY STE D
FARMINGTON, NM 87401-5638
Phone number: 505-325-0238