Provider Information for 1629348404
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DANIELLE C NORMAN
Sex: Female
NPI: 1629348404
Last Updated: 2023-06-26
Certification Date: 2023-06-26
Certification Date: 2023-06-26
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1629348404 | ||||||||||||
| Enumeration Date | 2012-01-10 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 12900 PARK PLAZA DR CERRITOS, CA 90703-9329 United States Phone: 562-467-5421 | Fax:877-321-1787 | ||||||||||||
| Primary Practice Address | 12900 PARK PLAZA DR CERRITOS, CA 90703-9329 United States Phone: 562-467-5421 | Fax: | ||||||||||||
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