Individual
DONOVAN RICHARD HOFSTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18301 77TH ST E, BONNEY LAKE, WA 98391-7030
(253) 569-3414
Mailing address
18301 77TH ST E, BONNEY LAKE, WA 98391-7030
(253) 569-3414
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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