Provider Demographics
NPI:1043271448
Name:DALY, SABRA (PA)
Entity Type:Individual
Prefix:
First Name:SABRA
Middle Name:
Last Name:DALY
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:11875 DUBLIN BLVD
Mailing Address - Street 2:SUITE C140
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2843
Mailing Address - Country:US
Mailing Address - Phone:955-587-2505
Mailing Address - Fax:925-587-2511
Practice Address - Street 1:2915 TELEGRAPH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2060
Practice Address - Country:US
Practice Address - Phone:510-843-4544
Practice Address - Fax:510-843-3871
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2012-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA14770363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant