Individual
DANIEL GUNNAR MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
604 FORT WORTH AVE APT 2139, DALLAS, TX 75208-0259
(774) 571-7867
Mailing address
604 FORT WORTH AVE APT 2139, DALLAS, TX 75208-0259
(774) 571-7867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2325702
MA
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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