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MRS. IDA DAGHER

>> Technician >> Nursing Service Related Providers

Registrant NPI Number: 1255894408

Individual Registrant:
MRS. IDA  DAGHER 
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: --

Contact information for business:
1814 JEANNA PL  UPLAND, CA 91784-9262 US
Tel: 626-833-6987  Fax: --

Registration Information:
NPI: 1255894408
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y374700000XNursing Service Related Providers
Technician
CAL9605

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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