Provider Demographics
NPI:1578842092
Name:UZES, DANIELE (LAC)
Entity Type:Individual
Prefix:
First Name:DANIELE
Middle Name:
Last Name:UZES
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4170 GROSS ROAD EXT STE 6
Mailing Address - Street 2:
Mailing Address - City:CAPITOLA
Mailing Address - State:CA
Mailing Address - Zip Code:95010-2054
Mailing Address - Country:US
Mailing Address - Phone:831-464-1605
Mailing Address - Fax:
Practice Address - Street 1:4170 GROSS ROAD EXT STE 6
Practice Address - Street 2:
Practice Address - City:CAPITOLA
Practice Address - State:CA
Practice Address - Zip Code:95010-2054
Practice Address - Country:US
Practice Address - Phone:831-464-1605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 14351171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist