Individual
MR. ISIAH DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-II
Contact information
Practice address
710 C ST STE 8, SAN RAFAEL, CA 94901-3853
(451) 485-6736
Mailing address
710 N 6TH ST, SAN JOSE, CA 95112-3277
(831) 124-0527
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A018660515
CA
Other
Enumeration date
10/28/2017
Last updated
10/28/2017
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