DANIELLE MACK

LOUISVILLE, KY
NPI1669974168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: KY  208622)
Enumeration Date2018-03-01
Last Update Date2018-03-01
Business Address
DANIELLE MACK CHLS
4611 PEACHTREE AVE
LOUISVILLE, KY 40215-2442
Phone number: 502-794-7008
Mailing Address
DANIELLE MACK CHLS
4611 PEACHTREE AVE
LOUISVILLE, KY 40215-2442
Phone number: 502-794-7008
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