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Individual

DANIELLE ANN YBARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1501 E CALVADA BLVD, PAHRUMP, NV 89048-5807
(775) 727-5509
(775) 727-5696
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 507-2430
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15664
TX
363AM0700X
Medical Physician Assistant
PA1329
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
NV
Enumeration date
01/17/2012
Last updated
12/03/2025
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