Individual
TERESA LOUISE DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1805 N CALIFORNIA ST, STE 101, STOCKTON, CA 95204-6037
(888) 270-0340
(888) 270-0331
Mailing address
1805 N CALIFORNIA ST, STE 101, STOCKTON, CA 95204-6037
(888) 270-0340
(888) 270-0331
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA311
CA
367500000X
Certified Registered Nurse Anesthetist
RN225414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN22541410
—
CA
Enumeration date
05/11/2006
Last updated
01/06/2015
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