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Individual

DANIELLE VAIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
230 S PACIFIC ST, ORCUTT, CA 93455-5229
(916) 765-1391
Mailing address
230 S PACIFIC ST, ORCUTT, CA 93455-5229
(916) 765-1391

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
284409
CA

Other

Enumeration date
11/20/2016
Last updated
11/20/2016
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