Most Relevant Information
Provider Data
NPI Number: | 1003557034 |
Provider Name: | DANIELLE ENEBRAD |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 04/05/2022 |
Last Updated: | 04/05/2022 |
Provider Practice Location
2495 W MARCH LN STE 125
STOCKTON
CA
952078224
Practice Location Phone/Fax
Phone: | 2094651080 |
Fax: |
Provider Mailing Location
2495 W MARCH LN STE 125
STOCKTON
CA
952078224
Provider Mailing Phone/Fax
Phone: | |
Fax: |