Individual
MS. BETHANY LEDA DONOWHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
845 VIA DE LA PAZ STE 16, PACIFIC PALISADES, CA 90272-3627
(310) 999-2179
Mailing address
1662 PALISADES DR, PACIFIC PALISADES, CA 90272-2110
(310) 999-2179
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95013772
CA
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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