Individual
MISS CHRISTOLINE NICHOLE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 BENJAMIN WAY, HEADLAND, AL 36345
(334) 718-3530
Mailing address
100 BENJAMIN WAY, HEADLAND, AL 36345-8402
(334) 718-3530
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2017
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/20/2016
Last updated
06/07/2018
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