Individual
DANIELLE B DEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1541 FLORIDA AVE STE 100, MODESTO, CA 95350-4438
(209) 577-3388
(209) 338-0024
Mailing address
1541 FLORIDA AVE STE 100, MODESTO, CA 95350-4438
(209) 577-3388
(209) 338-0024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55046
CA
Other
Enumeration date
11/10/2017
Last updated
03/17/2018
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