Individual
MISS DANIELLE ROSE RUGGIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
2244 PACIFIC COAST HIGHWAY SUITE 203, LOMITA, CA 90717
(310) 483-1241
Mailing address
25820 LUCILLE AVENUE, SUITE 203, LOMITA, CA 90717
(310) 483-1241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA62193
CA
363AS0400X
Surgical Physician Assistant
011496-1
NY
Other
Enumeration date
02/08/2007
Last updated
06/18/2024
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