KEVIN JOHN S MCDANIEL

LOMA LINDA, CA
NPI1447902101
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95017545)
Enumeration Date2022-01-24
Last Update Date2022-01-24
Business Address
KEVIN JOHN S MCDANIEL NP
11234 ANDERSON ST SPC 1617
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4000
Mailing Address
KEVIN JOHN S MCDANIEL NP
26506 POPPY CT
LOMA LINDA, CA 92354-6736
Phone number: 909-800-8651