Most Relevant Information
Provider Data
| NPI Number: | 1003588161 |
| Provider Name: | DANIELLE IRENE EDELEN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/28/2021 |
| Last Updated: | 09/28/2021 |
Provider Practice Location
5901 N LIDGERWOOD ST STE 115
SPOKANE
WA
992081122
Practice Location Phone/Fax
| Phone: | 5098384651 |
| Fax: |
Provider Mailing Location
107 S DIVISION ST
SPOKANE
WA
992021510
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |