Most Relevant Information
Provider Data
| NPI Number: | 1003303934 |
| Provider Name: | DANIELA TREATMENT PANET RAYMOND |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/17/2018 |
| Last Updated: | 07/31/2024 |
Provider Practice Location
3574 US 1 S
ST AUGUSTINE
FL
320866466
Practice Location Phone/Fax
| Phone: | 9042177161 |
| Fax: |
Provider Mailing Location
3574 US 1 S
ST AUGUSTINE
FL
320866466
Provider Mailing Phone/Fax
| Phone: | 9042177161 |
| Fax: |