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NPI Code Detail

MEDICARE: MS. ALICE I DANIELS R2

MEDICARE: MS. ALICE I DANIELS R2
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173C00000XReflexologist
2174400000XSpecialist

General Provider Information

NPI Number : 1710115217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALICE I DANIELS R2
Provider Business Mailing Address
First Line : 3940 E MESQUITE AVE
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92264-3432
Country : US
Telephone Number : 760-992-3687
Fax Number :
Provider Business Practice Location Address
First Line : 3940 E MESQUITE AVE
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92264-3432
Country : US
Telephone Number : 760-992-3687
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2009
Last Update Date : 06/23/2009

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Directions to “ MS. ALICE I DANIELS R2” Practice Location

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