Individual
KATRINA MICHELLE DONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15217 WATERMAN DR, SOUTH HOLLAND, IL 60473-1178
(708) 477-9655
Mailing address
1428 KENILWORTH DR, CALUMET CITY, IL 60409-6012
(708) 517-6595
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
01/04/2022
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