Ashley Mcdaniels I
Clinical Medical Laboratory in Desoto, TX. Individual provider (NPI-1).
NPI number1366112195
StatusActive
Last updated in NPPESJan 27, 2022
Details
- NPI
- 1366112195
- Entity type
- Individual (NPI-1)
- Name
- Ashley Mcdaniels I
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2021
- Certification date
- Jan 27, 2022
- Last updated
- Jan 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
508 Lilac LnDesoto, TX 75115-1465
Phone 972-921-9481
Mailing address
508 Lilac LnDesoto, TX 75115-1465
Phone 972-921-9481
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