Individual
DANIEL SEAN STAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
401 S TUSTIN ST, ORANGE, CA 92866-2550
(714) 244-4322
Mailing address
401 S TUSTIN ST BLDG B, ORANGE, CA 92866-2550
(714) 244-4322
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
01/15/2014
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