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Individual

MISS DANIELLE VIVIAN PENUNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3133 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 600-4099
Mailing address
3133 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 600-4099

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/16/2016
Last updated
09/16/2016
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