Individual
DARYL TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 349-8310
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024176298
VA
367500000X
Certified Registered Nurse Anesthetist
RN589766
PA
Other
Enumeration date
07/09/2015
Last updated
08/12/2022
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