Individual
DANIELLE BO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6208 SEVILLE AVE, HUNTINGTON PARK, CA 90255-2913
(866) 981-3002
Mailing address
1919 W 7TH ST, LOS ANGELES, CA 90057-4103
(562) 595-5241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95015927
CA
363LP2300X
Primary Care Nurse Practitioner
95015927
CA
Other
Enumeration date
01/04/2022
Last updated
11/16/2023
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