Individual
JEAN JOSEPH DANSEREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 E TULARE AVE, VISALIA, CA 93292-3629
(559) 623-0931
Mailing address
141 FLAG WAY, PASO ROBLES, CA 93446-3439
(805) 591-9806
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A44031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03884F
—
CA
05
—
FHC70693F
—
CA
05
—
FHC70936F
—
CA
05
—
FHC71031F
—
CA
Enumeration date
05/16/2006
Last updated
02/14/2025
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