Individual
CAITLIN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
2378 FENTON PKWY APT 105, SAN DIEGO, CA 92108-6701
(714) 366-4642
Mailing address
2378 FENTON PKWY APT 105, SAN DIEGO, CA 92108-6701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95100054
CA
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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