Individual
DANIELLE ASHLEY DEPEAU-WILSON
Active
Individual
DANIELLE ASHLEY DEPEAU-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
018812
NY
363AM0700X
Medical Physician Assistant
Primary
11006
GA
Other
Enumeration date
06/29/2015
Last updated
05/18/2022
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