Individual
VALDAZE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12702 WENONGA LN, LEAWOOD, KS 66209-1631
(816) 665-8008
Mailing address
12702 WENONGA LN, LEAWOOD, KS 66209-1631
(816) 665-8008
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1744P3200X
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-4026618
HAIR LOSS SPECIALIST
KS
Enumeration date
12/07/2013
Last updated
12/07/2013
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