DANIEL DATU BACULI

FREMONT, CA
NPI1700408630
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  11206)
Enumeration Date2020-05-14
Last Update Date2020-05-14
Business Address
DANIEL DATU BACULI
38660 LEXINGTON ST APT 588
FREMONT, CA 94536-6201
Phone number: 498-261-2801
Mailing Address
DANIEL DATU BACULI
38660 LEXINGTON ST APT 588
FREMONT, CA 94536-6201
Phone number:
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