Individual
DANIELLE MAILLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3919 W HAZARD AVE, SANTA ANA, CA 92703-2625
(714) 495-4142
Mailing address
17150 NEWHOPE ST STE 706, FOUNTAIN VALLEY, CA 92708-4255
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN285947
CA
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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