Individual
DANIELLE ASHLEY CALVILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6390 RUNNYMEADE DR STE B, PLACERVILLE, CA 95667-8623
(530) 291-5345
Mailing address
2760 LANTIS LN, PLACERVILLE, CA 95667-4915
(530) 350-0116
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
277840
CA
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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