DANIELLE BALESTRA PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1780308890- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 4000 CIVIC CENTER DR STE 200B, SAN RAFAEL, CA, 949035232
- Phone
- (415) 492-3333
Specialties & Taxonomies
Physician Assistant
Primary License: CA #PA68135
Otolaryngology
License: NY #031446
All Addresses
MAILING
130 E 77TH ST FL 10
NEW YORK, NY, 100751851