Individual
MRS. ANETIRA MARY DONELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3285 FERGUSON ST SW, TUMWATER, WA 98512
(360) 943-1907
Mailing address
PO BOX 14339, TUMWATER, WA 98511-4339
(360) 943-1907
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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