Individual
MS. DANIELLE L VAILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC, LAT, CES
Contact information
Practice address
2800 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3321
(518) 813-0711
Mailing address
7385 PARK VILLAGE DR APT 2405, JACKSONVILLE, FL 32256-8025
(518) 813-0711
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1344
AL
2255A2300X
Athletic Trainer
Primary
AL3337
FL
2255A2300X
Athletic Trainer
AT001913
GA
Other
Enumeration date
09/18/2012
Last updated
02/17/2021
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