Healthcare Provider Details

I. General information

NPI: 1730236290
Provider Name (Legal Business Name): MARGARET M DAYNES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 11/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 CARLSBAD VILLAGE DR SUITE R
CARLSBAD CA
92008-1957
US

IV. Provider business mailing address

PO BOX 2721
ESCONDIDO CA
92033-2721
US

V. Phone/Fax

Practice location:
  • Phone: 888-813-5296
  • Fax:
Mailing address:
  • Phone: 888-813-5296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License NumberMFC40218
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: