Individual
MRS. DONNA LAGDA MATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4670 ARIZONA ST APT 6, SAN DIEGO, CA 92116-2918
(619) 254-8880
Mailing address
4670 ARIZONA ST APT 6, SAN DIEGO, CA 92116-2918
(619) 254-8880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95010964
CA
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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