Individual
MS. JO ANN DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1250 SOUTHWINDS DR, LANTANA, FL 33462-1459
(561) 547-6843
(561) 540-4404
Mailing address
19 W PALM AVE, LAKE WORTH, FL 33467-4825
(561) 641-4805
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 1540
FL
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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