Individual
DACIANA I. IANCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
632 PETALUMA AVE, SEBASTOPOL, CA 95472-4217
(707) 295-3755
Mailing address
632 PETALUMA AVE, SEBASTOPOL, CA 95472-4217
(707) 295-3755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A70894
CA
208M00000X
Hospitalist Physician
A70894
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A708940
—
CA
Enumeration date
01/12/2007
Last updated
07/17/2023
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