Individual
DANIEL SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1904 RICHLAND AVE BLDG A, CERES, CA 95307-4562
(209) 300-8800
Mailing address
2720 LAKE FRONT CT, MODESTO, CA 95355-2262
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
702528
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/20/2018
Last updated
02/08/2019
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