Individual
MRS. DANIELLE MARIE CHANCELLOR-CHECKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM-LDEM
Contact information
Practice address
8325 N. 3600 W., HONEYVILLE, UT 84134
(801) 643-0604
(435) 723-0605
Mailing address
8325 N. 3600 W., HONEYVILLE, UT 84314
(801) 643-0604
(435) 723-0605
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
—
—
176B00000X
Midwife
Primary
84959431-3400
UT
Other
Enumeration date
11/02/2011
Last updated
08/22/2013
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