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Individual

DANIEL TEDDLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9294 BULWICK CT, SACRAMENTO, CA 95829-1453
(410) 948-1352
Mailing address
9294 BULWICK CT, SACRAMENTO, CA 95829-1453
(410) 948-1352

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95157095
CA

Other

Enumeration date
01/14/2025
Last updated
01/14/2025
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