Individual
VICKI MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BC
Contact information
Practice address
4 E. VILLAGE MALL, CHEROKEE VILLAGE, AR 72529-0176
(870) 257-3336
(870) 257-3339
Mailing address
PO BOX 176, CHEROKEE VILLAGE, AR 72525-0176
(870) 257-3336
(870) 257-3339
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
103473
MO
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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