Individual
DANIEL JAMES NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
842 S LILAC LOOP, SAINT JOHNS, FL 32259-1919
(727) 348-8080
Mailing address
842 S LILAC LOOP, SAINT JOHNS, FL 32259-1919
(727) 348-8080
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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