Individual
DONNA LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4053 LONE TREE WAY, ANTIOCH, CA 94531-6210
(925) 756-3400
Mailing address
1450 TREAT BLVD, # 160, WALNUT CREEK, CA 94597-2168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52548
CA
Other
Enumeration date
06/10/2015
Last updated
01/03/2022
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