Individual
MS. DANIELLE DAUTRIEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1920 JOHN WESLEY DR, COLLEGE PARK, GA 40476
(404) 765-4155
(404) 765-4149
Mailing address
99 JESSE HILL DR SE, ATLANTA, GA 30303
(404) 730-1217
(404) 730-1223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 120960
GA
163W00000X
Registered Nurse
RN 432336
CA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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