Individual
DR. DANIELLE K MOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 BROADWAY ST STE 104 PMB 135, LAGUNA BEACH, CA 92651
(410) 952-6996
Mailing address
303 BROADWAY, SUITE 104 PMB 135, LAGUNA BEACH, CA 92651
(949) 715-5676
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
57.007895
OH
207N00000X
Dermatology Physician
A104213
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A104213
CA
Other
Enumeration date
05/11/2007
Last updated
09/22/2023
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