Donjurea Lashae Daniels, | |
8472 Herring Run Rd, Seaford, DE 19973-5763 | |
(302) 536-5395 | |
Not Available |
Full Name | Donjurea Lashae Daniels |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 8472 Herring Run Rd, Seaford, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1598322141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DN-0000758 (Delaware) | Primary |
Provider Name | Tidalhealth Physician Network, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467534636 PECOS PAC ID: 7315901253 Enrollment ID: O20041119000090 |
Mailing Address | Practice Location Address |
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Donjurea Lashae Daniels, 8472 Herring Run Rd, Seaford, DE 19973-5763 Ph: (302) 536-5395 | Donjurea Lashae Daniels, 8472 Herring Run Rd, Seaford, DE 19973-5763 Ph: (302) 536-5395 |
Wendy Lee Polk, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 801 Middleford Rd, Seaford, DE 19973 Phone: 302-629-6611 Fax: 302-628-6329 | |
Ms. Lucinda Leenhouts Mancuso, RD,CDE,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 801 Middleford Rd, Seaford, DE 19973 Phone: 302-629-6611 Fax: 302-628-6329 | |
Ms. Donna Lynne Deluca, MS RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 801 Middleford Rd, Seaford, DE 19973 Phone: 302-629-6611 Fax: 302-628-6329 |