Individual
DANIELLE MILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CSCS, CES
Contact information
Practice address
1990 POPPS FERRY RD, BILOXI, MS 39532-2015
(228) 385-9000
Mailing address
151 GRANDE VIEW DR, 205, BILOXI, MS 39531-4717
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0815
MS
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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