Provider Demographics
NPI:1326580887
Name:SANELLI, DANIEL (MSC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:SANELLI
Suffix:
Gender:M
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 401195
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94140-1195
Mailing Address - Country:US
Mailing Address - Phone:415-754-3047
Mailing Address - Fax:415-358-5619
Practice Address - Street 1:2460 MISSION ST STE 214
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2458
Practice Address - Country:US
Practice Address - Phone:415-754-3047
Practice Address - Fax:415-358-5619
Is Sole Proprietor?:No
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist