Individual
DR. DONNA PONTRELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1112 B ST, PETALUMA, CA 94952-4054
(707) 888-9568
Mailing address
1112 B ST, PETALUMA, CA 94952-4054
(707) 888-9568
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
30083
CA
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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