Individual
MRS. REBEKAH FAITH DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
15024 MARTIN LUTHER KING JR BLVD, GULFPORT, MS 39501-8306
(228) 864-0003
Mailing address
16251 LANDON RD, GULFPORT, MS 39503-4124
(228) 596-8896
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
902025
MS
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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