Provider Demographics
NPI:1477867190
Name:DANIEL, ADRIAN LYNN
Entity Type:Individual
Prefix:MISS
First Name:ADRIAN
Middle Name:LYNN
Last Name:DANIEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2851 BEDFORD LN
Mailing Address - Street 2:SUITE 165
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-3558
Mailing Address - Country:US
Mailing Address - Phone:909-455-6590
Mailing Address - Fax:
Practice Address - Street 1:2851 BEDFORD LANE
Practice Address - Street 2:165
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-3558
Practice Address - Country:US
Practice Address - Phone:909-455-6590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver