Individual
DR. JACQUELINE ERIN DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 THE CITY DRIVE, SUITE 2150, ORANGE, CA 92868
(714) 456-5501
Mailing address
PO BOX 9774, FOUNTAIN VALLEY, CA 92728-9774
(407) 921-5110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
148425
CA
207L00000X
Anesthesiology Physician
279116
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2010
Last updated
06/19/2018
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