Individual
DANIEL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
751 LEE AVE, SAN LEANDRO, CA 94577-2931
(510) 723-7455
Mailing address
751 LEE AVE, SAN LEANDRO, CA 94577-2931
(510) 723-7455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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