Individual
DANIELLE LA FLEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2544 W ALTA VISTA RD, PHOENIX, AZ 85041-5330
(623) 734-0960
Mailing address
2544 W ALTA VISTA RD, PHOENIX, AZ 85041-5330
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP048206
AZ
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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