Individual
MRS. DANIELLE DETESO TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
5490 BRYSON DR, NAPLES, FL 34109-0924
(239) 596-7731
Mailing address
13530 LITTLE GEM CIR, FORT MYERS, FL 33913-7927
(239) 677-7028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106300
FL
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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