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Individual

DANI ELLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
722 MEDICAL CENTER DR E STE 105, CLOVIS, CA 93611-6810
(559) 299-7700
(559) 224-3420
Mailing address
PO BOX 28953, FRESNO, CA 93729-8953
(559) 228-4298
(559) 224-3920

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
9082
CA

Other

Enumeration date
02/06/2013
Last updated
02/06/2013
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