Individual
DR. DANIELLE MARIE FAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1665 UNION ST STE A, SAN DIEGO, CA 92101-2906
(619) 663-5344
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101257442
VA
207R00000X
Internal Medicine Physician
Primary
C175478
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932427622
NPI
VA
Enumeration date
05/06/2010
Last updated
01/04/2022
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