Individual
DR. DANIELLE GLORIA WECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1862
Mailing address
400 N PEPPER AVE STE 107, COLTON, CA 92324-1819
(909) 580-1862
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A192128
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2020
Last updated
07/03/2024
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