Individual
DARIA DENISOVNA DANILENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 E RIVERSIDE DR, AUSTIN, TX 78741-3099
(512) 448-3353
Mailing address
4567 OAK SHORES DR, PLANO, TX 75024-7352
(469) 919-1951
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
273958
TX
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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