Individual
TRACIE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5956 SUNRIDGE DR, CINCINNATI, OH 45224-2738
(513) 407-6557
Mailing address
11458 MILL RD, CINCINNATI, OH 45240-2819
(513) 615-9969
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN447417
OH
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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