Individual
DANIELLE GHASSEMLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4212 MISSOURI FLAT RD, PLACERVILLE, CA 95667-6269
(530) 621-7700
Mailing address
312 N ALMA SCHOOL RD STE 11, CHANDLER, AZ 85224-4354
(814) 853-3489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4942
CT
363A00000X
Physician Assistant
8466
AZ
363A00000X
Physician Assistant
Primary
PA62951
CA
Other
Enumeration date
03/20/2020
Last updated
08/11/2025
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