Provider Demographics
NPI:1669421905
Name:MCADAMS, DONNA M (MSTOM, LAC, RN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:MCADAMS
Suffix:
Gender:F
Credentials:MSTOM, LAC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:325 W 3RD AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4140
Mailing Address - Country:US
Mailing Address - Phone:760-796-4519
Mailing Address - Fax:760-796-4526
Practice Address - Street 1:325 W 3RD AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4140
Practice Address - Country:US
Practice Address - Phone:760-796-4519
Practice Address - Fax:760-796-4526
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARN355155163W00000X
CAAC8311171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse