Individual
DONNA MARIE RAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3594 4TH AVE, SAN DIEGO, CA 92103-4940
(619) 296-1151
Mailing address
1486 GUSTAVO ST UNIT F, EL CAJON, CA 92019-3245
(619) 729-0547
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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