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Individual
DONICA ALEXA LONEY
Active
Individual
DONICA ALEXA LONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA63364
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CA660570
—
CA
01
—
PA63364
PA LICENSE
CA
Enumeration date
08/21/2023
Last updated
07/15/2024
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