Individual
DANIELLE DENEEN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EMERGENCY MED. TECH.
Contact information
Practice address
3420 MAIN ST, WEIRTON, WV 26062-4557
(412) 519-4566
Mailing address
174 LEEPER LN, GEORGETOWN, PA 15043-1098
(412) 519-4566
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2007-2290
WV
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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