Individual
MS. DANIELLE ALYSE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
28 BLACKWELL PARK LN, WARRENTON, VA 20186-2685
(540) 701-4656
Mailing address
951 FELL ST APT 330, BALTIMORE, MD 21231-3589
(443) 752-6979
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0110009164
VA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
06/18/2024
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