Individual
DANIEL HESTEHAUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
9089 BASELINE RD, SUITE 100, RANCHO CUCAMONGA, CA 91730-1295
(909) 483-0505
(909) 483-0508
Mailing address
9089 BASELINE RD, SUITE 100, RANCHO CUCAMONGA, CA 91730-1295
(909) 483-0505
(909) 483-0508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA23257
CA
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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