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Individual

DANIELLE LAUREN KINNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
565 N DEL PRADO ST, TRACY, CA 95391-1254
(209) 679-8906
Mailing address
565 N DEL PRADO ST, TRACY, CA 95391-1254
(209) 679-8906

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60734
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/04/2022
Last updated
02/02/2023
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