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Individual

DANIELLE ANTONETTE SWANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1100 W STEWART DR, ORANGE, CA 92868-3849
(714) 633-9111
Mailing address
22431 ANTONIO PKWY # B160-613, RANCHO SANTA MARGARITA, CA 92688-2804
(833) 477-2677
(833) 477-2677

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA21161
CA
363AS0400X
Surgical Physician Assistant
Primary
PA21161
CA

Other

Enumeration date
09/29/2010
Last updated
10/24/2020
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