Individual
DANIELLE NICHOLE WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 S MAYFAIR PL, CHICAGO HEIGHTS, IL 60411-1113
(708) 955-7418
Mailing address
113 S MAYFAIR PL, CHICAGO HEIGHTS, IL 60411-1113
(708) 955-7418
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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