Individual
SANDRA DONELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 GREENE GABLES CT, RIDGELEY, WV 26753-7393
(301) 707-3369
Mailing address
2016 GREENE GABLES CT, RIDGELEY, WV 26753-7393
(301) 707-3369
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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