Individual
DANIELLE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16200 SAND CANYON AVE, IRVINE, CA 92618-3714
(949) 517-3010
Mailing address
16200 SAND CANYON AVE, IRVINE, CA 92618-3714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95122578
CA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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