Individual
DR. DONNA RENEE CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
9330 W FLAMINGO RD STE 112A, LAS VEGAS, NV 89147-6447
(702) 932-6100
(702) 932-6102
Mailing address
9330 W FLAMINGO RD STE 112A, LAS VEGAS, NV 89147-6447
(702) 932-6100
(702) 932-6102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01340
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720415656
SERENITY SPINAL CARE, LLC NPI
NV
01
—
V107102
MEDICARE PTAN
NV
Enumeration date
06/24/2009
Last updated
03/31/2014
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