Individual
PATRICE V. DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 24TH AVE S, VA NASHVILLE TENNESSEE, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
412 SORENSEN WAY, MADISON, TN 37115-5554
(615) 868-6705
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0000000235
TN
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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