Individual
DANIEL SANOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE
Contact information
Practice address
16192 COASTAL HWY, LEWES, DE 19958-3608
(800) 533-0255
Mailing address
16192 COASTAL HWY, LEWES, DE 19958-3608
(800) 533-0255
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NONE
—
Enumeration date
04/10/2018
Last updated
04/10/2018
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