Individual
MRS. DIANE LOUISE MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6428 W TULARE WAY, TUCSON, AZ 85743-1174
(520) 572-8328
(520) 572-8328
Mailing address
6428 W TULARE WAY, TUCSON, AZ 85743-1174
(520) 572-8328
(520) 572-8328
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
4607
AZ
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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