Individual
THERESA D DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 YAUPON CT, DOTHAN, AL 36301-7274
(850) 693-0411
Mailing address
105 YAUPON CT, DOTHAN, AL 36301-7274
(850) 693-0411
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
9781510
AL
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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