Healthcare Provider Details

I. General information

NPI: 1437831344
Provider Name (Legal Business Name): DAISY CUEVAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAISY CUEVAS

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 YOUNG CIR
MARINA CA
93933-2718
US

IV. Provider business mailing address

1000 S MAIN ST
SALINAS CA
93901-2352
US

V. Phone/Fax

Practice location:
  • Phone: 831-915-9437
  • Fax:
Mailing address:
  • Phone: 831-755-4475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: