Individual
MISS DESIREE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-0002
(304) 419-1469
Mailing address
305 FAIRVIEW DR, HURRICANE, WV 25526-1711
(304) 419-1469
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001667
WV
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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