Female

Marquita Daniel BCHHP

Prosthetics Case Management in Munster, IN(View on Map)

Full Name

Marquita Daniel BCHHP

NPI Number

1073135729

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/15/2020

Specialties

(Taxonomies)

Code

1744P3200X
171400000X
133NN1002X
133N00000X

Primary Taxonomy

Yes
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

1630 45TH ST STE B101
1630 45TH ST STE B101

City

Munster
Munster

State

IN
IN

Postal Code

46321-3963
46321-3963

Country

US
US

Telephone Number

(219) 595-0566
(219) 595-0566

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

info@mdtrichology.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

1630 45th St Ste B101Munster, IN463213963US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/22/2023

Provider Address