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Individual

DONNA J BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
415 E HARDING WAY, SUITE D, STOCKTON, CA 95204-6118
(209) 944-5750
(209) 464-2684
Mailing address
415 E HARDING WAY, SUITE D, STOCKTON, CA 95204-6118
(209) 944-5750
(209) 464-2684

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
250398
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
250398
LICENSE NUMBER
CA
Enumeration date
08/08/2011
Last updated
08/08/2011
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