Individual
DR. STEPHANIE MARIA DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2144 4TH ST STE A, SAN RAFAEL, CA 94901-2668
(415) 390-2060
(415) 466-8031
Mailing address
1700 SHATTUCK AVE, #177, BERKELEY, CA 94709-3402
(510) 848-8585
(510) 803-5657
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A12457
CA
Other
Enumeration date
10/05/2012
Last updated
04/21/2021
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