Individual
DANIELLE RUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
435 ARDEN AVE STE 310, GLENDALE, CA 91203-4014
(818) 247-6676
Mailing address
3009 POPLAR BLVD UNIT B, ALHAMBRA, CA 91803-1019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
62896
CA
Other
Enumeration date
07/05/2022
Last updated
09/28/2023
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