Individual
DIANE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 BROADWAY, SAN DIEGO, CA 92101-5391
(858) 410-1067
Mailing address
707 BROADWAY, SAN DIEGO, CA 92101-5391
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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