Individual
DONNA G. DABNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
605 S COOLIDGE STREET, MOSES LAKE, WA 98837
(509) 765-0674
(509) 764-0344
Mailing address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 764-0344
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
025211 PA10004222
WA
363AM0700X
Medical Physician Assistant
Primary
PA10004222
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851471361
—
WA
01
—
P01403524
RR MEDICARE
WA
Enumeration date
10/17/2006
Last updated
06/10/2021
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