Individual
CURTIS DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2142 N BLYTHE AVE, FRESNO, CA 93722-5402
(559) 261-5083
Mailing address
4460 W SHAW AVE # 595, FRESNO, CA 93722-6210
(559) 261-5083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
01/29/2020
Last updated
10/21/2024
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