Individual
BLAKE CHRISTIAN DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4649 SHANNON VIEW RD, ACTON, CA 93510-1123
(951) 733-5548
Mailing address
4649 SHANNON VIEW RD, ACTON, CA 93510-1123
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34451
CA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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