Individual
MR. DANIEL A MARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
755 W QUINALT ST, SPRINGFIELD, OR 97477-2756
(509) 475-4456
Mailing address
755 W QUINALT ST, SPRINGFIELD, OR 97477-2756
(509) 475-4456
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B1769539
TX
164W00000X
Licensed Practical Nurse
Primary
200830407LPN
OR
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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