Individual
DR. DANIELLE ELIZABETH GIACONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
699 W TEFFT ST STE A, NIPOMO, CA 93444-9288
(805) 619-5610
(805) 619-5179
Mailing address
699 W TEFFT ST STE A, NIPOMO, CA 93444-9288
(805) 619-5610
(805) 619-5179
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
18168
CA
208600000X
Surgery Physician
R-11063
IA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
20A18168
CA
Other
Enumeration date
06/29/2013
Last updated
06/16/2022
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