DANIEL BLACK

SANTA MARIA, CA
NPI1659144954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA64104)
Enumeration Date2023-10-30
Last Update Date2024-02-21
Business Address
DANIEL BLACK
1851 MELANIE CT
SANTA MARIA, CA 93454-5505
Phone number: 805-325-0042
Mailing Address
DANIEL BLACK
14342 TILDEN ST
WESTMINSTER, CA 92683-5139
Phone number:
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