Individual
EDWARD ELBERT DANIELS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCSS
Contact information
Practice address
4311 SARA RD SE STE 106, RIO RANCHO, NM 87124-1524
(505) 537-2543
Mailing address
1814 BUCKSKIN LOOP NE, RIO RANCHO, NM 87144-1451
(505) 537-2543
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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