Individual
DILLAN NICOLE FIRESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 WOODLAND RD STE 202, SAINT HELENA, CA 94574
(707) 968-0670
Mailing address
761 FULTON LN, SAINT HELENA, CA 94574-1016
(480) 254-9145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56930
CA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/10/2018
Last updated
09/16/2019
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