Individual
MRS. KATHLEEN T DASKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
100 LACY ST NW, SUITE 150, MARIETTA, GA 30060-1271
(770) 793-7635
(770) 793-7645
Mailing address
100 LACY ST NW, SUITE 150, MARIETTA, GA 30060-1271
(770) 793-7635
(770) 793-7645
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN170840
GA
363LA2200X
Adult Health Nurse Practitioner
254738
MA
Other
Enumeration date
02/17/2006
Last updated
12/28/2012
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