Individual
DANIELLE SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
663 BISHOPS LODGE RD APT 43, SANTA FE, NM 87501-1101
(971) 344-1935
Mailing address
663 BISHOPS LODGE RD APT 43, SANTA FE, NM 87501-1101
(971) 344-1935
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
173C00000X
Reflexologist
18633
OR
Other
Enumeration date
05/29/2014
Last updated
01/23/2017
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