Individual
DONNA LYNN PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1324 NELSON AVE. SUITE B, MODESTO, CA 95350
(209) 524-9481
(209) 524-9486
Mailing address
542 SAGEWALK COURT, OAKDALE, CA 95361
(209) 988-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 14350
CA
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/23/2006
Last updated
05/23/2023
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