Individual
MISS LINDA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2573 RAVENHILL DRIVE, FAYETTEVILLE, NC 28303
(910) 488-7548
Mailing address
2573 RAVENHILL DR, FAYETTEVILLE, NC 28303-5451
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200002383091
NC
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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