Provider Demographics
NPI:1639292170
Name:SLUSHER, DONNA LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:LEE
Last Name:SLUSHER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30542 BRIDGEVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-5914
Mailing Address - Country:US
Mailing Address - Phone:951-526-7400
Mailing Address - Fax:951-699-9058
Practice Address - Street 1:30542 BRIDGEVIEW CIR
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-5914
Practice Address - Country:US
Practice Address - Phone:951-526-7400
Practice Address - Fax:951-699-9058
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC19286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor