DANIEL RAY LICON

CHICO, CA
NPI1275398372
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95030499)
Enumeration Date2024-02-19
Last Update Date2024-06-24
Business Address
Mr. DANIEL RAY LICON Nurse Practitioner
185 E 7TH AVE
CHICO, CA 95926-3356
Phone number: 530-332-4400
Mailing Address
Mr. DANIEL RAY LICON Nurse Practitioner
1125 SHERIDAN AVE 48
CHICO, CA 95926
Phone number: 530-966-9198
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