Individual
TERESA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28000 WOODWARD AVE, ROYAL OAK, MI 48067-0960
(248) 440-1513
Mailing address
28000 WOODWARD AVE, ROYAL OAK, MI 48067-0960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704337880
MI
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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