Individual
MR. PHILLIP WAYNE DANIEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E COOK ST STE B, SANTA MARIA, CA 93454-5133
(805) 910-8996
Mailing address
301 E COOK ST STE B, SANTA MARIA, CA 93454-5133
(805) 910-8996
(805) 910-8996
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-BUEZNY
CA
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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