Individual
JESSICA DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 N 3RD ST, OSKALOOSA, IA 52577-1803
(641) 295-0427
Mailing address
1315 N 3RD ST, OSKALOOSA, IA 52577-1803
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
075234
IA
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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