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Individual

JOHANNE DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
11044 ALPHARETTA HWY APT 2308, ROSWELL, GA 30076-5744

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4154
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN330027
GA

Other

Enumeration date
03/04/2012
Last updated
10/24/2024
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