Individual
MRS. MARLENE MONICA DONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1404 SHOSHONE PL, MODESTO, CA 95358-1353
(209) 524-2472
Mailing address
1404 SHOSHONE PL, MODESTO, CA 95358-1353
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
RN315168
CA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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