Individual
MICHELLE DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 E 38TH ST, ERIE, PA 16510-3688
(814) 824-3937
(814) 824-6608
Mailing address
2240 E 38TH ST, ERIE, PA 16510-3688
(814) 824-3937
(814) 824-6608
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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