Michele Daniele, RDN | |
345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | |
(661) 478-9861 | |
Not Available |
Full Name | Michele Daniele |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 345 S Halcyon Rd, Arroyo Grande, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205589322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Sansum Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154354504 PECOS PAC ID: 3678471976 Enrollment ID: O20031223000607 |
Mailing Address | Practice Location Address |
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Michele Daniele, RDN 115 Big Canyon Ct, Arroyo Grande, CA 93420-5101 Ph: (661) 478-9861 | Michele Daniele, RDN 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 Ph: (661) 478-9861 |
Melissa Dae Conrey, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 563 S Traffic Way, Arroyo Grande, CA 93420 Phone: 602-145-5077 | |
Miss Jessica Lynn Gust, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 405 East Branch Street #102, Arroyo Grande, CA 93420 Phone: 805-550-1724 Fax: 805-476-1435 | |
Elisa Geissel, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 798 Phillips Rd, Arroyo Grande, CA 93420 Phone: 661-428-1446 | |
Aida Amanda Moreno, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 260 Station Way, Arroyo Grande, CA 93420 Phone: 805-473-6201 | |
Taylor Fink, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 260 Station Way, Arroyo Grande, CA 93420 Phone: 805-473-6201 Fax: 805-473-6291 | |
Molly Wagman, Dietitian Medicare: Medicare Enrolled Practice Location: 262 S Elm St, Arroyo Grande, CA 93420 Phone: 925-389-0926 |