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Individual

DIANE PHYLLIS MARY DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055-5191
(760) 725-2292
(760) 725-1690
Mailing address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055-5191
(760) 725-2292
(760) 725-1690

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
479223
CA

Other

Enumeration date
11/08/2006
Last updated
06/16/2015
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