Provider Demographics
NPI:1942917026
Name:BARET-DANIEL, MIGUEL A (NHP)
Entity Type:Individual
Prefix:
First Name:MIGUEL
Middle Name:A
Last Name:BARET-DANIEL
Suffix:
Gender:M
Credentials:NHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 W MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-6172
Mailing Address - Country:US
Mailing Address - Phone:209-690-7616
Mailing Address - Fax:
Practice Address - Street 1:525 W MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6172
Practice Address - Country:US
Practice Address - Phone:209-690-7616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty