TRACEY LYNN DANIELS

FOUNTAIN, CO
NPI1063954063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  0004836)
Enumeration Date2016-11-08
Last Update Date2016-11-08
Business Address
-- TRACEY LYNN DANIELS PA-C
10513 WELLS PT
FOUNTAIN, CO 80817
Phone number: 719-492-8454
Mailing Address
-- TRACEY LYNN DANIELS PA-C
10513 WELLS PT
FOUNTAIN, CO 80817-4229
Phone number: 719-492-8454
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