Individual
JEAN MARIE DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4620 N 22ND ST, TAMPA, FL 33610-6205
(813) 284-4529
Mailing address
4620 N 22ND ST, TAMPA, FL 33610-6205
(813) 284-4529
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN1977492
FL
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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