Individual
STEPHANIE DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9050 VICINO DR, ELK GROVE, CA 95758-5859
(916) 761-7188
Mailing address
9050 VICINO DR, ELK GROVE, CA 95758-5859
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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