Individual
TALYA DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 NINTH AVE, SAN DIEGO, CA 92101
(619) 235-2600
(619) 696-9573
Mailing address
1045 NINTH AVE, SAN DIEGO, CA 92101
(619) 235-2600
(619) 696-9573
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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