Individual
MRS. CHRISTINA DAWN DONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11940 SIX GUN CIR, LUSBY, MD 20657-2565
(410) 394-1453
Mailing address
11940 SIX GUN CIR, LUSBY, MD 20657-2565
(410) 394-1453
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP37624
MD
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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