Individual
IRA R DANIEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 E 12TH ST, OAKLAND, CA 94601-3424
(510) 269-9030
Mailing address
3301 E 12TH ST, OAKLAND, CA 94601-3424
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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