Individual
DAISHYA ANALYCE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15237 ELEVENTH ST, VICTORVILLE, CA 92395-3736
(760) 662-7420
Mailing address
15237 ELEVENTH ST, VICTORVILLE, CA 92395-3736
(760) 662-7420
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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