Daney Daisy Jacksper
Technician/Technologist in Santa Paula, CA. Individual provider (NPI-1).
NPI number1942043989
StatusActive
Last updated in NPPESJun 17, 2024
Details
- NPI
- 1942043989
- Entity type
- Individual (NPI-1)
- Name
- Daney Daisy Jacksper
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2024
- Certification date
- Jun 17, 2024
- Last updated
- Jun 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
Practice location
811 W Telegraph RdSanta Paula, CA 93060-3009
Phone 805-265-4894
Mailing address
811 W Telegraph RdSanta Paula, CA 93060-3009
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