Most Relevant Information
Provider Data
| NPI Number: | 1003679309 |
| Provider Name: | DANYELL EVETTE BARNES |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/31/2024 |
| Last Updated: | 01/31/2024 |
Provider Practice Location
4510 W CHARLESTON BLVD
LAS VEGAS
NV
891021502
Practice Location Phone/Fax
| Phone: | 7023314161 |
| Fax: |
Provider Mailing Location
4510 W CHARLESTON BLVD
LAS VEGAS
NV
891021502
Provider Mailing Phone/Fax
| Phone: | 7023314161 |
| Fax: |