Individual
EMMA COLEEN MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 THIRD AVE STE A, CHULA VISTA, CA 91911-1352
(619) 425-7755
Mailing address
835 THIRD AVE STE A, CHULA VISTA, CA 91911-1352
(619) 425-7755
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D87058
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D87058
LICENSE
MD
Enumeration date
02/01/2013
Last updated
05/07/2021
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