Individual
SUSAN DANIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
225 N HOBBS RD, KNOXVILLE, TN 37934-0828
(865) 675-2527
(865) 675-0998
Mailing address
225 N HOBBS RD, KNOXVILLE, TN 37934-0828
(865) 675-2527
(865) 675-0998
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
18975
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18975
MEDICAL TECHNOLOGIST
TN
Enumeration date
08/22/2006
Last updated
07/08/2007
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