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Individual

ALEXANDRA N DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
SLU 10720, 900 A WEST UNIVERSITY, HAMMOND, LA 70402-8623
(985) 549-2000
Mailing address
3726 PINE VILLAGE PL, LOGANVILLE, GA 30052-8623
(678) 524-3331

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
310289
LA

Other

Enumeration date
02/02/2018
Last updated
01/06/2020
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