Individual
DANIELLE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15004 INNOVATION DR, SAN DIEGO, CA 92128-3491
(858) 487-1800
Mailing address
3436 MYRTLE AVE, SAN DIEGO, CA 92104-3815
(480) 217-2826
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
55689
CA
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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