Healthcare Provider Details

I. General information

NPI: 1578439329
Provider Name (Legal Business Name): DAISY ESPUDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 E ROMIE LN APT 12
SALINAS CA
93901-3144
US

IV. Provider business mailing address

306 E ROMIE LN APT 12
SALINAS CA
93901-3144
US

V. Phone/Fax

Practice location:
  • Phone: 831-258-7751
  • Fax:
Mailing address:
  • Phone: 831-258-7751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number99501
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: