LISA AMANDA DONALDSON

COSTA MESA, CA
NPI1568965994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  2000017880)
Enumeration Date2018-03-12
Last Update Date2018-03-12
Business Address
-- LISA AMANDA DONALDSON ATC, MBA
2701 FAIRVIEW RD
COSTA MESA, CA 92626-5563
Phone number: 714-559-0231
Mailing Address
-- LISA AMANDA DONALDSON ATC, MBA
9304 W PLAINFIELD AVE
GREENFIELD, WI 53228-2118
Phone number: 414-388-1918
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