Individual
SEAN MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1011
(985) 892-2828
Mailing address
228 N COLUMBIA ST, COVINGTON, LA 70433-3267
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00383
LA
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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