Provider Demographics
NPI:1861808560
Name:RIGGINS, DANIELLE
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:RIGGINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 17TH ST NW
Mailing Address - Street 2:APT3
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44703-1051
Mailing Address - Country:US
Mailing Address - Phone:330-312-4760
Mailing Address - Fax:
Practice Address - Street 1:1511 17TH ST NW
Practice Address - Street 2:APT3
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44703-1051
Practice Address - Country:US
Practice Address - Phone:330-312-4760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other