Provider Demographics
NPI:1932488061
Name:RYLANDER, DANIELLE GAVIN (CD)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:GAVIN
Last Name:RYLANDER
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1347 W RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:WA
Mailing Address - Zip Code:98584-3855
Mailing Address - Country:US
Mailing Address - Phone:360-490-3594
Mailing Address - Fax:
Practice Address - Street 1:1347 W RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:WA
Practice Address - Zip Code:98584-3855
Practice Address - Country:US
Practice Address - Phone:360-490-3594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-07
Last Update Date:2011-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula