Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist |
NPI | 1003182452 |
---|---|
Provider Name | Danielle L Turner |
First Address | Lac Du Flambeau, WI 54538-9682 |
Second Address | Lac Du Flambeau, WI 54538-9682 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2012 |
Last Update Date | 30/03/2012 |