DONITA SUE DEMONTINEY

ACOMA, NM
NPI1811179211
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  0530)
Enumeration Date2007-11-28
Last Update Date2015-02-02
Business Address
-- DONITA SUE DEMONTINEY PA-C
80 B VETERANS BLVD I-40, EXIT 102
ACOMA, NM 87034
Phone number: 505-552-5300
Mailing Address
-- DONITA SUE DEMONTINEY PA-C
PO BOX 130 ATTN ACL PROVIDER ENROLLMENT
SAN FIDEL, NM 87049-0130
Phone number: 505-552-5300
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