Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | Z22021863 | CA |
NPI | 1285813022 |
---|---|
Provider Name | Mrs. Donna Louise Nunes |
First Address | Fresno, CA 93727-1519 |
Second Address | Fresno, CA 93727-1519 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2007 |
Last Update Date | 29/10/2007 |