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NPI Code Detail

MEDICARE: DAISY VILLASENIOR UMALI

MEDICARE:   DAISY VILLASENIOR UMALI
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
1183500000XPharmacist23883CA

General Provider Information

NPI Number : 1518288182
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAISY VILLASENIOR UMALI
Provider Business Mailing Address
First Line : 1551 FARMERS LN
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-7525
Country : US
Telephone Number : 707-544-4050
Fax Number :
Provider Business Practice Location Address
First Line : 1551 FARMERS LN
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-7525
Country : US
Telephone Number : 707-544-4050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2010
Last Update Date : 06/18/2010

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Directions to “ DAISY VILLASENIOR UMALI ” Practice Location

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