Individual
DONNA M BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
78 BIRCKHEAD PL, TOLEDO, OH 43608-2321
(419) 277-4448
(419) 754-0476
Mailing address
78 BIRCKHEAD PL, TOLEDO, OH 43608-2321
(419) 277-4448
(419) 754-0476
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 124982
OH
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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