Individual
ELIZABETH DAIDONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72 BOLLING CIR, PALMYRA, VA 22963-3247
(434) 987-0026
Mailing address
72 BOLLING CIR, PALMYRA, VA 22963-3247
(434) 987-0026
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0126003104
VA
390200000X
Student in an Organized Health Care Education/Training Program
A61212848
VA
Other
Enumeration date
04/19/2016
Last updated
01/14/2019
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