Individual
MRS. DANIELLE ELISE FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 RUTH AVE, HEALDTON, OK 73438-1449
(806) 292-0662
Mailing address
265 RUTH AVE, HEALDTON, OK 73438-1449
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
MYSELF
—
Enumeration date
05/02/2018
Last updated
06/16/2018
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