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Individual

MS. DANIELLE NICOLE CALLOWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4150 WALTHAM FOREST DR, TAVARES, FL 32778-5725
(352) 435-4600
(352) 435-4605
Mailing address
4150 WALTHAM FOREST DR, TAVARES, FL 32778-5725
(352) 435-4600
(352) 435-4605

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
376J00000X
Homemaker
Primary

Other

Enumeration date
09/09/2015
Last updated
09/09/2015
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