Individual
DANIEL DANIELYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4406 BARRETT RD, CARMICHAEL, CA 95608-1106
(916) 458-2615
Mailing address
4406 BARRETT RD, CARMICHAEL, CA 95608-1106
(916) 458-2615
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
6063121740
CA
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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