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DANA AMELIA CANFIELD PA

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1538621909

Individual Registrant:
 DANA AMELIA CANFIELD PA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3302 RENNER DR  FORTUNA, CA 95540-7103 US
Tel: 707-725-3318  Fax: 707-725-1998

Contact information for business:
3302 RENNER DR  FORTUNA, CA 95540-7103 US
Tel: 707-725-3318  Fax: --

Registration Information:
NPI: 1538621909
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CA58764

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1194189654CA05




HEALTH CARE JOBS CA - Page 1



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