Individual
DONNA JEAN PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 S FOSTORIA AVE, SPRINGFIELD, OH 45505-1406
(937) 505-4394
Mailing address
147 S FOSTORIA AVE, SPRINGFIELD, OH 45505-1406
(937) 505-4394
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN305615
OH
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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