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MRS. IDA DAGHER
>> Technician >> Nursing Service Related ProvidersRegistrant NPI Number: 1255894408
Individual Registrant:MRS. IDA DAGHER
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
35325 DATE PALM DR STE 107 CATHEDRAL CITY, CA 92234-7032 US
Tel: 760-202-4308 Fax: --
Tel: 760-202-4308 Fax: --
Contact information for business:
1814 JEANNA PL UPLAND, CA 91784-9262 US
Tel: 626-833-6987 Fax: --
Tel: 626-833-6987 Fax: --
Registration Information:
NPI: 1255894408
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 374700000X | Nursing Service Related Providers Technician | CA | L9605 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
