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Individual

DANIELLE JEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
2222 OCOEE APOPKA RD STE 106-222, OCOEE, FL 34761-5344
(347) 827-7716

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
612245
NY
367500000X
Certified Registered Nurse Anesthetist
28266010A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
612245
NY
367500000X
Certified Registered Nurse Anesthetist
APRN11023708
FL

Other

Enumeration date
03/20/2009
Last updated
11/20/2024
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