Dan Ray Middleton, CST1

NPI #1831330521 in Ceres, California

Provider Information

NPI Number: 1831330521
Entity Type: Individual
Name: Dan Ray Middleton, CST1
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Credential: CST1
Enumeration Date: Mar 10, 2009
Last Updated: Oct 8, 2013

Practice Location

Address: 1904 RICHLAND AVE
City: Ceres
State: California
ZIP Code: 95307-4562
Phone: (209) 541-2155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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