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Individual

DANAE M WIBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
2241 WANKEL WAY STE C, OXNARD, CA 93030-0191
(805) 983-0922
Mailing address
2241 WANKEL WAY STE C, OXNARD, CA 93030-0191
(805) 351-8212

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA23186
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA23186
STATE LICENSE
CA
Enumeration date
09/05/2013
Last updated
04/23/2024
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