Individual
LACI AHNE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 PEARL ST E, SIDNEY, NY 13838-1597
(607) 561-7705
Mailing address
120 ANDERSON LN, GREENE, NY 13778-2283
(607) 743-3152
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
674982
NY
163WS0200X
School Registered Nurse
Primary
674982
NY
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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