Individual
ERIKA DALE RENE' DANVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 SHAWNEE LN, CHILLICOTHE, OH 45601-4145
(740) 703-7164
Mailing address
310 SUMMIT STREET, JACKSON, OH 45640-1374
(740) 710-6065
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004250
OH
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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