Individual
DANELLY J SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163-1838
(540) 981-7000
Mailing address
601 MARSHALL AVE SW APT C, ROANOKE, VA 24016-3804
(540) 790-9083
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
08/09/2024
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