Individual
CHARLENE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 COLLEGE AVE, ELMIRA, NY 14901-1154
(607) 733-4497
Mailing address
332 E FRANKLIN ST, HORSEHEADS, NY 14845-2559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
323283
NY
Other
Enumeration date
02/07/2007
Last updated
09/08/2008
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