Individual
DR. ELIESHA SURO DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(908) 647-0180
Mailing address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(908) 647-0180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03049900
NJ
Other
Enumeration date
12/15/2008
Last updated
06/03/2010
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