Provider Demographics
NPI:1679393391
Name:BOND, DANIELLE L
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:L
Last Name:BOND
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 1:76 GALVESTON ST SW APT T1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-1937
Mailing Address - Country:US
Mailing Address - Phone:301-747-8568
Mailing Address - Fax:
Practice Address - Street 1:76 GALVESTON ST SW APT T1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-1937
Practice Address - Country:US
Practice Address - Phone:301-747-8568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant