Individual
DANIELLE ANN POTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16516 BERNARDO CENTER DR STE 220, SAN DIEGO, CA 92128-2551
(858) 336-2810
Mailing address
309 E 2ND ST, POMONA, CA 91766-1854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61612
CA
Other
Enumeration date
07/05/2022
Last updated
07/13/2023
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