Individual
MS. CAITLIN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSTOM, LAC
Contact information
Practice address
310 N BROADWAY, NYACK, NY 10960-1643
(845) 418-0809
Mailing address
310 N BROADWAY, NYACK, NY 10960-1643
(845) 418-0809
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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