Individual
DR. DANIELLE REBECCA GABRIELLE FOUCAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBCHB, BSC
Contact information
Practice address
2500 METROHEALTH DRIVE, CLEVELAND, OH 44109-1998
(216) 778-4486
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57.028650
OH
Other
Enumeration date
08/31/2016
Last updated
10/05/2016
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