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Individual
DANIELLA BACK
Active
Individual
DANIELLA BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10031096
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
10031096
OR
Other
Enumeration date
10/05/2021
Last updated
08/12/2024
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