Individual
MS. DONNA M DERENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
165 KIBLING HILL RD, STRAFFORD, VT 05072-9770
(802) 889-9838
Mailing address
165 KIBLING HILL RD, STRAFFORD, VT 05072-9770
(802) 889-9838
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
107-0000043
VT
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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