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Individual

DANIELLE LEANN HALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1250 S MANUFACTURERS ROW, TRENTON, TN 38382-3632
(731) 855-7601
Mailing address
13 LOCHRIDGE CV, JACKSON, TN 38305-8017

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
212529
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0728
NPI
TN
Enumeration date
04/24/2019
Last updated
04/24/2019
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