Individual
DANIEL CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 GODDARD ST, SOUTHBRIDGE, MA 01550-2482
(508) 505-5155
Mailing address
155 NORTHLAND DR, MEDINA, OH 44256-1534
(330) 723-1441
(330) 723-1881
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3552
MA
Other
Enumeration date
10/04/2016
Last updated
09/27/2021
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