Individual
JILL M MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
100 1ST AVE NW, EPHRATA, WA 98823-1602
(509) 754-9374
(509) 754-9374
Mailing address
78 IVY ST NE, EPHRATA, WA 98823-1734
(509) 754-4511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016123
WA
Other
Enumeration date
08/17/2008
Last updated
10/28/2008
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