Organization
HEALTHY LIVING FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ULRIKE SHAON DONAHUE DO (PHYSICIAN)
(814) 573-0227
Entity
Organization
Contact information
Practice address
51 DELAWARE ST, STE 1, DU BOIS, PA 15801-2764
(814) 601-3113
Mailing address
103 HEISKEL DR, PORT MATILDA, PA 16870-7102
(814) 573-0227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS015888
PA
Other
Enumeration date
12/20/2016
Last updated
08/22/2024
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