Individual
MR. DANNY F. SAN MIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUPPLIER
Contact information
Practice address
9607 BUSINESS CENTER DR UNIT E, RANCHO CUCAMONGA, CA 91730-4557
(909) 225-0774
(909) 941-7186
Mailing address
9331 MAJESTY DR, RANCHO CUCAMONGA, CA 91730-2638
(909) 225-0774
(909) 941-7186
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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