Individual
DW DONAHOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2049 SKYLINE DR, LEMON GROVE, CA 91945-4221
(619) 465-7303
Mailing address
1400 N JOHNSON AVE, EL CAJON, CA 92020-1650
(619) 442-2077
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
N5782420
CA
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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