Donyelle Vonise McBride
Specialist in West Hartford, CT. Individual provider (NPI-1).
NPI number1407923725
StatusActive
Last updated in NPPESAug 3, 2012
Details
- NPI
- 1407923725
- Entity type
- Individual (NPI-1)
- Name
- Ms. Donyelle Vonise McBride
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2006
- Last updated
- Aug 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 046491 | CT | Yes |
Practice location
211 Park RdLower Level
West Hartford, CT 06119-2014
Phone 860-985-2081 · Fax 860-920-7368
Mailing address
211 Park RdLower Level
West Hartford, CT 06119-2014
Phone 860-985-2081 · Fax 860-920-7365
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