Individual
DANIELLE COLIUKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3006 FAWNWOOD DR, ELLICOTT CITY, MD 21042
(410) 720-2484
Mailing address
3006 FAWNWOOD DR, ELLICOTT CITY, MD 21042
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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