Individual
DANA KWITNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1333 POWELL ST STE A103, EMERYVILLE, CA 94608-2598
(888) 663-6331
(415) 252-7176
Mailing address
130 SUTTER ST FL 2, SAN FRANCISCO, CA 94104-4009
(415) 658-6791
(415) 520-0904
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52153
CALIFORNIA PHYSICIAN ASSISTANT BOARD LICENSE NUMBER
CA
Enumeration date
12/08/2014
Last updated
03/17/2025
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