Whalio Doctors

NPI 1073558748

Jacqualine J. Dancy, PAC

Practitioner Physician Assistant San Luis Obispo, CA

Practice location

Address
283 Madonna Rd Suite B, San Luis Obispo, CA 93405-5432
Phone
(805) 549-8880
Fax
(805) 549-8743

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA 17046 (CA)

Registry record

NPI
1073558748
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Jun 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.