Individual
DAN RAY MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CST1
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 541-2155
(209) 541-2114
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 541-2155
(209) 541-2114
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
03/10/2009
Last updated
10/08/2013
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