Provider Information

Last Updated : Aug 14 2024 4:02 PM

Tamarra Daniels




City
Clovis
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Daniels
First Name
Tamarra
Address
1420 Shaw Ave Ste 105
State
CA
Zip Code
93611
Phone
(559)460-9090
Hours
Mon - Fri 8:00 AM - 5:00 PM
Title
M.A.
Physician ID
903294
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1912405093
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
License ID
BCB53541
Board Certified
No
Self Access Flag
Self Reported Data

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