Individual
MRS. DANIELLE W SNODGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRA
Contact information
Practice address
119 FISH OR CUT BAIT RD, DEFUNIAK SPRINGS, FL 32433-4630
(706) 298-9434
Mailing address
119 FISH OR CUT BAIT RD, DEFUNIAK SPRINGS, FL 32433-4630
(706) 298-9434
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
2510
ND
243U00000X
Radiology Practitioner Assistant
Primary
RA77
FL
243U00000X
Radiology Practitioner Assistant
RTS-RT-LIC-25944
MT
2471C3402X
Radiography Radiologic Technologist
321611
—
Other
Enumeration date
11/20/2009
Last updated
11/16/2024
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