Individual
JUSTICE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDMS
Contact information
Practice address
34 ALAN CT, # 333, FLORENCE, KY 41042-5360
(859) 991-3593
(859) 371-5216
Mailing address
34 ALAN CT, # 333, FLORENCE, KY 41042-5360
(859) 991-3593
(859) 371-5216
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
70562
OH
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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