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1669171971
DANIEL DE LA SELVA
CAMARILLO, CA
NPI
1669171971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2023-02-24
Last Update Date
2023-06-23
Business Address
DANIEL DE LA SELVA
1722 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-377-5631
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Mailing Address
DANIEL DE LA SELVA
1722 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number:
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