Individual
CHANCELOR PELE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
887 POTRERO AVE, L-UNIT, SAN FRANCISCO, CA 94110-2869
(415) 206-6346
Mailing address
887 POTRERO AVE, L-UNIT, SAN FRANCISCO, CA 94110-2869
(415) 206-6346
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
B7967507
CA
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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