Individual
DANECE JETER MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12629 PETREL XING, MIDLOTHIAN, VA 23112-2958
(804) 661-9103
Mailing address
12629 PETREL XING, MIDLOTHIAN, VA 23112-2958
(804) 661-9103
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/15/2024
Last updated
09/11/2025
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