Individual
MISS DANIELLE JOY ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 HOOPES AVE, APT I-103, IDAHO FALLS, ID 83401-4972
(541) 285-6587
Mailing address
777 HOOPES AVE APT I103, IDAHO FALLS, ID 83401-6086
(541) 285-6587
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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