Willie Daniels II

NPI #1376389064 in Moundville, Alabama

Provider Information

NPI Number: 1376389064
Entity Type: Individual
Name: Willie Daniels II
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 2, 2024
Last Updated: Jul 2, 2024

Practice Location

Address: 12561 WATERBURY WAY
City: Moundville
State: Alabama
ZIP Code: 35474-0047
Phone: (334) 654-0165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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