Individual
MISS DANIELLE NICOLE SUDDUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11741 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3681
(562) 949-8455
Mailing address
1211 RODDY DR, LA HABRA, CA 90631-3129
(562) 889-3571
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
07/23/2008
Last updated
08/14/2008
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