Individual
JACQUELINE M DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
622
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417110396
—
NV
01
—
622
NEVADA STATE BOARD OF OPTOMETRY
NV
Enumeration date
07/09/2008
Last updated
09/13/2023
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