Provider Information for 1841850914
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DANIELA RENDON LCSW
Sex: Female
NPI: 1841850914
Last Updated: 2023-07-18
Certification Date: 2023-07-18
Certification Date: 2023-07-18
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841850914 | ||||||||||||
| Enumeration Date | 2019-06-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 29692 MELITTA RD MENIFEE, CA 92584-8608 United States Phone: 760-576-7546 | Fax: | ||||||||||||
| Primary Practice Address | 495 E RINCON ST STE 209 CORONA, CA 92879-1379 United States Phone: 760-576-7546 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 9445 FARNHAM ST STE 100 9445 FARNHAM ST STE 100 | ||||||||||||
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