Individual
DANIELLE VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 893-2676
Mailing address
120 OWLS NEST CT, MANORVILLE, NY 11949-2631
(631) 245-5375
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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