Individual
MS. DONYELLE VONISE MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 PARK RD, LOWER LEVEL, WEST HARTFORD, CT 06119-2014
(860) 985-2081
(860) 920-7368
Mailing address
211 PARK RD, LOWER LEVEL, WEST HARTFORD, CT 06119-2014
(860) 985-2081
(860) 920-7365
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
046491
CT
Other
Enumeration date
11/30/2006
Last updated
08/03/2012
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