Individual
MR. DONAHVAUGH DIMARCO REY PRITCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 E SHAWAVE, 150, FRESNO, CA 93710-8105
(559) 248-8550
Mailing address
1630 E SHAW AVE, SUITE 150, FRESNO, CA 93710-8105
(559) 248-8550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
03/27/2014
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