Individual
EVIE DANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2825 STABLE DOOR LN, FORT WORTH, TX 76244-5073
(562) 290-9747
Mailing address
2825 STABLE DOOR LN, FORT WORTH, TX 76244-5073
(556) 229-0974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
944622
TX
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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