Individual
DANNIELE LEE CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 MOORES CT, BRENTWOOD, TN 37027-2967
(209) 242-1990
Mailing address
811 MOORES CT, BRENTWOOD, TN 37027-2967
(209) 242-1990
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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