Individual
MS. DANIELLE DIANA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10165 VALLEY VIEW ST, CYPRESS, CA 90630-4602
(714) 252-5016
Mailing address
10165 VALLEY VIEW ST, CYPRESS, CA 90630-4602
(714) 252-5016
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18693
CA
Other
Enumeration date
10/26/2006
Last updated
05/11/2019
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