Individual
MRS. DANIELLE ANNE TAYSOM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34520 BOB WILSON DR, NAVAL MEDICAL CENTER SAN DIEGO, SAN DIEGO, CA 92134
(619) 532-6400
Mailing address
612 RUE BAYONNE, CHULA VISTA, CA 91913-1215
(619) 421-4363
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01054088A
IN
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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