Individual
DONNA SIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1631 MONTE VISTA ST, PASADENA, CA 91106-1309
(626) 705-5752
Mailing address
1631 MONTE VISTA ST, PASADENA, CA 91106-1309
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
E335261
CA
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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