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Individual

DANIELLE RICHARDSON DANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2343 2ND AVE E, ONEONTA, AL 35121-2756
(205) 625-3332
Mailing address
8304 CAHABA CROSSING CIR, LEEDS, AL 35094-7901
(205) 283-9841

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2151
AL

Other

Enumeration date
02/16/2023
Last updated
02/16/2023
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