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 |