Provider Demographics
NPI:1750095345
Name:REFFETT, DONNA K
Entity type:Individual
Prefix:MISS
First Name:DONNA
Middle Name:K
Last Name:REFFETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11936 WEDDINGTON ST APT 6
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2840
Mailing Address - Country:US
Mailing Address - Phone:818-232-2304
Mailing Address - Fax:
Practice Address - Street 1:11936 WEDDINGTON ST APT 6
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-2840
Practice Address - Country:US
Practice Address - Phone:818-232-2304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator