Individual
DANICA LYNNE BROOKOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 540-6500
(805) 540-6501
Mailing address
PO BOX 15408, SAN LUIS OBISPO, CA 93406-5408
(805) 540-6500
(805) 540-6501
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
12/19/2023
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