Individual
DANIEL MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1204 CROSSVIEW CT, BRANDON, MS 39042-7284
(601) 420-5522
Mailing address
1204 CROSSVIEW CT, BRANDON, MS 39042-7284
(601) 420-5522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R857411
MS
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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