Individual
ROXANNE NICOLE DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. M.P.H. M.S.
Contact information
Practice address
NATIONAL NAVAL MEDICAL CTR, 8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 319-8278
Mailing address
12038 CHASE CROSSING CIR, APT 403, ROCKVILLE, MD 20852-4764
(617) 320-8756
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
010244208
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2007
Last updated
01/14/2010
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