Individual
MS. DIANNE MARIE DAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2342 PROFESSIONAL PKWY, SUITE 310, SANTA MARIA, CA 93455-1629
(805) 934-2488
Mailing address
2342 PROFESSIONAL PKWY, SUITE 310, SANTA MARIA, CA 93455-1629
(805) 934-2488
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14568
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA14568
PA LICENSE
CA
Enumeration date
03/02/2007
Last updated
07/08/2007
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