Individual
JEANNEZ ADLINE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-0423
Mailing address
447 ANDERSON ST, COATESVILLE, PA 19320-6615
(484) 684-4131
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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