Deanne L Ristau, RMA

NPI #1821620204 in Omak, Washington

Provider Information

NPI Number: 1821620204
Entity Type: Individual
Name: Deanne L Ristau, RMA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Credential: RMA
Enumeration Date: Feb 4, 2020
Last Updated: Feb 4, 2020

Practice Location

Address: 617 BENTON ST
City: Omak
State: Washington
ZIP Code: 98841-9636
Phone: (509) 422-7541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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