Individual
JEANETTE THERESE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1908 BUSINESS CENTER DR STE 109, SAN BERNARDINO, CA 92408-3469
(909) 890-5930
Mailing address
1908 BUSINESS CENTER DR STE 109, SAN BERNARDINO, CA 92408-3469
(909) 890-5930
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2024
Last updated
11/11/2025
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