Individual
ASANTE DIANE FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
41990 COOK ST BLDG H, PALM DESERT, CA 92211-6100
(760) 327-7900
(760) 327-7905
Mailing address
17223 CERRITOS ST, FONTANA, CA 92336-1584
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA66472
CA
Other
Enumeration date
06/13/2023
Last updated
07/17/2025
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