Individual
DANIELLE ULLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 COBBLE CRK, PENSACOLA, FL 32504-8638
(850) 473-4800
Mailing address
5877 PROVIDENCE LOOP, PENSACOLA, FL 32526-2234
(910) 610-3584
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
387931
FL
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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