Individual
DAYANA ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 S H ST, LOMPOC, CA 93436-6821
(805) 735-5550
(805) 735-5616
Mailing address
126 S H ST, LOMPOC, CA 93436-6821
(805) 587-7731
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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