Most Relevant Information
Provider Data
| NPI Number: | 1003413873 |
| Provider Name: | AURY MCDANIEL |
| Entity Type: | Individual |
| Taxonomy Code: | 311ZA0620X |
| Specialty: | Custodial Care Facility |
| License Number: | 374601040 |
Most Important Dates
| Enumeration Date: | 10/05/2020 |
| Last Updated: | 10/05/2020 |
Provider Practice Location
1068 CAMINO MIEL
CHULA VISTA
CA
919108712
Practice Location Phone/Fax
| Phone: | 6196569798 |
| Fax: | 6192160498 |
Provider Mailing Location
1068 CAMINO MIEL
CHULA VISTA
CA
919108712
Provider Mailing Phone/Fax
| Phone: | 6196569798 |
| Fax: | 6192160498 |