Individual
DONNA EGOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21150 AIRPORT RD, GEORGETOWN, DE 19947-5573
(302) 856-3636
Mailing address
21150 AIRPORT RD, GEORGETOWN, DE 19947-5573
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0004626
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L2-00004626
STATE OF DELAWARE LICENSE
DE
Enumeration date
07/18/2018
Last updated
07/18/2018
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