Individual
MS. DONNA LYNN MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
336 S VANDERHURST AVE, KING CITY, CA 93930-2984
(831) 385-7502
Mailing address
520 BEACH BLVD APT 501, BILOXI, MS 39530-4468
(601) 479-4138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01066422
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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