Individual
MR. DANIEL J MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
118 BRANT DR, MARIETTA, OH 45750-9482
(740) 444-2500
Mailing address
118 BRANT DR, MARIETTA, OH 45750
(740) 444-2500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.097443
OH
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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