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Individual

MR. DANIEL JAY GENDRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-NP

Contact information

Practice address
47111 MONROE ST, INDIO, CA 92201-6739
(760) 775-8111
Mailing address
42671 SARAGOZA CT, INDIO, CA 92203-2897
(734) 652-6981

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
852445
CA

Other

Enumeration date
08/26/2022
Last updated
08/26/2022
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