Individual
DANEY DAISY JACKSPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 W TELEGRAPH RD, SANTA PAULA, CA 93060-3009
(805) 265-4894
Mailing address
811 W TELEGRAPH RD, SANTA PAULA, CA 93060-3009
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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