Individual
MRS. BETTY JEAN DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED MED TECH
Contact information
Practice address
2514 N 36TH ST, MILWAUKEE, WI 53210-3041
(414) 628-3853
Mailing address
2514 N 36TH ST, MILWAUKEE, WI 53210-3041
(414) 628-3853
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NA205392
WI
171W00000X
Contractor
NA205392
WI
Other
Enumeration date
02/09/2013
Last updated
02/09/2013
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