Individual
DONNITA MARION SCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
111 SKWIAT LEGION AVE STE B, MICHIGAN CITY, IN 46360-4550
(219) 879-7895
(219) 879-7603
Mailing address
111 SKWIAT LEGION AVE STE B, MICHIGAN CITY, IN 46360-4550
(219) 879-7895
(219) 879-7603
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
28090567A
IN
Other
Enumeration date
11/28/2006
Last updated
07/09/2007
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