Donna Denise Conley
Driver in Acton, CA. Individual provider (NPI-1).
NPI number1164044335
StatusActive
Last updated in NPPESMay 11, 2020
Details
- NPI
- 1164044335
- Entity type
- Individual (NPI-1)
- Name
- Donna Denise Conley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2020
- Certification date
- May 11, 2020
- Last updated
- May 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | CA | Yes |
Practice location
30500 Arrastre Canyon RdActon, CA 93510-2160
Phone 661-478-1063
Mailing address
30500 Arrastre Canyon RdActon, CA 93510-2160
Phone 661-478-1063
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