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Individual

DANIELLE DONDIEGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
611 GATEWAY BLVD STE 120, SOUTH SAN FRANCISCO, CA 94080-7066
(650) 761-4056
Mailing address
3776 US HIGHWAY 17, PO BOX 640, SAVANNAH, GA 31404
(912) 350-7020
(912) 459-0064

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
074676
GA
207Q00000X
Family Medicine Physician
16564
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
GA
Enumeration date
04/01/2013
Last updated
08/25/2025
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