Individual
DANIELLE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3617 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 758-5770
Mailing address
3617 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 758-5770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
64630
CA
Other
Enumeration date
08/15/2024
Last updated
09/12/2024
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