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Individual

LAQUANA DANIELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
119 RHEMANN BLVD, RICHLAND, MS 39218-6044
(601) 248-5198
Mailing address
119 RHEMANN BLVD, RICHLAND, MS 39218-6044

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905769
MS

Other

Enumeration date
02/07/2023
Last updated
02/07/2023
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