Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 33501 | CA |
N | 111NP0017X | Pediatric Chiropractor | DC33501 | CA |
NPI | 1245690353 |
---|---|
Provider Name | Danielle Osbon |
First Address | Temecula, CA 92591-3874 |
Second Address | Temecula, CA 92591-3874 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2016 |
Last Update Date | 06/03/2019 |