Individual
EMILY DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 S FAIRMONT AVE, LODI, CA 95240-5118
(209) 339-7639
(209) 339-7404
Mailing address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-5387
(916) 456-2236
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A151533
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/11/2014
Last updated
12/20/2021
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