Individual
MR. DONALD TUCKER DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20797 SANTA LUCIA ST, TEHACHAPI, CA 93561-8676
(661) 822-9105
(661) 822-6953
Mailing address
PO BOX 666, TEHACHAPI, CA 93581-0666
(661) 822-9105
(661) 822-6953
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13262
CA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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