Individual
COLLEEN JEHNING DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2051 MARENGO ST., NICU, LOS ANGELES, CA 90033
(323) 409-6240
Mailing address
1200 N. STATE STREET, CLINIC TOWER RM. 2B300, LOS ANGELES, CA 90033
(323) 409-6240
(323) 441-8123
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
349815
CA
Other
Enumeration date
12/23/2013
Last updated
12/31/2013
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