Individual
JANICE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
14825 N OUTER FORTY, SUITE 100, CHESTERFIELD, MO 63017
(636) 898-4707
(636) 898-4709
Mailing address
16 LOUSIE CT, FLORISSANT, MO 63031
(314) 608-2761
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
061768
MO
Other
Enumeration date
11/17/2005
Last updated
07/08/2007
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