Individual
CONNITA MICHELLE DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 S FIGUEROA ST, LOS ANGELES, CA 90037-3150
(323) 991-4502
Mailing address
905 E 8TH ST, LOS ANGELES, CA 90021-1848
(323) 553-1800
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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