Individual
MRS. CRYSTAL L DONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68017 WALNUT ST, BRIDGEPORT, OH 43912-3206
(740) 296-9068
Mailing address
68017 WALNUT ST, BRIDGEPORT, OH 43912-3206
(740) 296-9068
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2290775
—
OH
Enumeration date
07/24/2006
Last updated
07/08/2007
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