Provider Demographics
NPI:1124308549
Name:HUNTER, DONNA RAE
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:RAE
Last Name:HUNTER
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:PO BOX 611
Mailing Address - Street 2:
Mailing Address - City:EHRENBERG
Mailing Address - State:AZ
Mailing Address - Zip Code:85334-0611
Mailing Address - Country:US
Mailing Address - Phone:909-327-1070
Mailing Address - Fax:
Practice Address - Street 1:1 COLLEGE DR
Practice Address - Street 2:
Practice Address - City:BLYTHE
Practice Address - State:CA
Practice Address - Zip Code:92225-9561
Practice Address - Country:US
Practice Address - Phone:909-327-1070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program