Daniela Ixmucane Rodriguez-Jaquez, PA-C
NPI #1275192395 in San Luis Obispo, California
Provider Information
- NPI Number
- 1275192395
- Entity Type
- Individual
- Name
- Daniela Ixmucane Rodriguez-Jaquez, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 12, 2019
- Last Updated
- May 14, 2024
Practice Location
- Address
- 77 CASA ST
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93405-5803
- Phone
- (805) 269-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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