Individual
MS. HELENA DOMINICK DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 SW E AVE, LAWTON, OK 73501-4738
(580) 647-9284
Mailing address
1505 SW E AVE, LAWTON, OK 73501-4738
(580) 647-9284
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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