Individual
MR. DANIEL LELAND GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31192 TIVERTON RD, MENIFEE, CA 92584-6614
(951) 265-0871
Mailing address
31192 TIVERTON RD, MENIFEE, CA 92584-6614
(951) 265-0871
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
06/18/2012
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