Individual
LORETTA K DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
405 W PEARL ST, ATKINSON, NE 68713-4882
(402) 925-2631
(402) 925-2810
Mailing address
406 W NEELY ST, ATKINSON, NE 68713-4801
(402) 925-2811
(402) 925-4810
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
679
NE
Other
Enumeration date
12/18/2008
Last updated
03/17/2018
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