Individual
DANA NEMOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10787 LAUREL ST, RANCHO CUCAMONGA, CA 91730-3828
(909) 982-7741
Mailing address
PO BOX 8785, ALTA LOMA, CA 91701-0785
(909) 244-4799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60282
CA
363AM0700X
Medical Physician Assistant
PA60282
CA
Other
Enumeration date
12/15/2021
Last updated
02/11/2022
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