Individual
DANIEL EDWIN HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
1301 N ROSE DR, PLACENTIA, CA 92870-3802
(714) 524-4817
Mailing address
727 N PHILADELPHIA ST, ANAHEIM, CA 92805-2738
(714) 774-7668
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
530824
CA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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