Individual
DANIEL L EUSTACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
311 W I ST, LOS BANOS, CA 93635
(209) 826-2222
Mailing address
311 W I ST, LOS BANOS, CA 93635-3479
(209) 826-2222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54524
CA
363A00000X
Physician Assistant
C02993
MD
Other
Enumeration date
07/01/2006
Last updated
01/22/2020
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