Individual
DR. BARRY ROBERT DANIELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
19016 BAY ST., SONOMA, CA 95476
(707) 996-2252
(707) 935-6539
Mailing address
PO BOX 190, EL VERANO, CA 95433-0190
(707) 996-2252
(707) 935-6539
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14899
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-3801320
FED. TAX ID#
CA
Enumeration date
08/25/2005
Last updated
09/26/2019
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