Individual
ROBERT VANCE DANIELSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3527 MAPLE ST., ERIE, PA 16508
(814) 314-0292
Mailing address
3527 MAPLE ST, ERIE, PA 16508-2616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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