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NPI Code Detail

MEDICARE: MARIA DAKSLA

MEDICARE: MARIA DAKSLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist48615CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760860217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA DAKSLA
Provider Business Mailing Address
First Line : 3308 PRINCEVILLE CT
Second Line :
City : MODESTO
State : CA
Zip : 95355-9651
Country : US
Telephone Number : 772-607-1582
Fax Number :
Provider Business Practice Location Address
First Line : 1158 W MAIN ST
Second Line :
City : MERCED
State : CA
Zip : 95340-4523
Country : US
Telephone Number : 209-383-2404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2015
Last Update Date : 05/15/2015

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Directions to “ MARIA DAKSLA ” Practice Location

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