REGINALD SHIFFON DANIELS

MATHER, CA
NPI1912531187
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-02-26
Last Update Date2020-02-26
Business Address
REGINALD SHIFFON DANIELS
10535 HOSPITAL WAY
MATHER, CA 95655-4200
Phone number: 916-843-9367
Mailing Address
REGINALD SHIFFON DANIELS
3545 MATHER FIELD RD APT 13
RANCHO CORDOVA, CA 95670-5929
Phone number: 757-748-6665