Individual
NICHOLAS L MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6755 AMSEL AVE NE, CANTON, OH 44721-2606
(330) 689-9270
Mailing address
6755 AMSEL AVE NE, CANTON, OH 44721-2606
(330) 689-9270
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WV0202X
Vehicle Modifications Contractor
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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